Individual
LORENA CORNAVACA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6200 SUNSET DR STE 130, SOUTH MIAMI, FL 33143-4832
(786) 596-3876
(786) 533-9989
Mailing address
PO BOX 198054, ATLANTA, GA 30384-8054
(786) 596-3876
(786) 533-9989
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN11022648
FL
363LA2100X
Acute Care Nurse Practitioner
Primary
11022648
FL
Other
Enumeration date
12/13/2022
Last updated
05/17/2023
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