Individual
IDALMYS JUSTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1127 NW 22ND AVE, MIAMI, FL 33125-2738
(786) 464-5120
(786) 464-5125
Mailing address
22467 SW 111TH AVE, MIAMI, FL 33170-3015
(786) 237-9016
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
11004779
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11004779
FL
Other
Enumeration date
10/24/2019
Last updated
09/05/2024
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