Individual
DIANELIS HERRERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6075 SUNSET DR, 4TH FLOOR, SOUTH MIAMI, FL 33143-5000
(305) 669-1808
Mailing address
191 NW 122ND CT, MIAMI, FL 33182-2053
(786) 394-7189
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
9312357
FL
Other
Enumeration date
09/23/2016
Last updated
09/23/2016
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