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Individual

KEILA GISEL PAULINO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 585-5000
Mailing address
PO BOX 198054, ATLANTA, GA 30384-8054
(305) 434-3070

Taxonomy

Speciality
Code
Description
License number
State
207XX0801X
Orthopaedic Trauma Physician
APRN9273866
FL
363L00000X
Nurse Practitioner
APRN9273866
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP9273866
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1194265462
PRIVATE INSURANCE
Enumeration date
03/06/2017
Last updated
09/03/2024
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