Individual
DIRLY BASTIDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10300 SW 216TH ST, CUTLER BAY, FL 33190-1003
(305) 252-4872
Mailing address
15420 SW 297TH ST, HOMESTEAD, FL 33033-3572
(305) 331-2272
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9394588
FL
Other
Enumeration date
11/11/2021
Last updated
11/11/2021
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