Organization
MAHIQUE ARNP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YANIRA MAHIQUE ARNP (AUTHORIZED OFFICIAL)
(786) 405-3508
Entity
Organization
Contact information
Practice address
15880 SW 76TH ST, MIAMI, FL 33193-2955
(786) 405-3508
Mailing address
15880 SW 76TH ST, MIAMI, FL 33193-2955
(786) 405-3508
Taxonomy
Speciality
Code
Description
License number
State
364SF0001X
Family Health Clinical Nurse Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11010558
LICENSE
FL
Enumeration date
06/22/2021
Last updated
06/22/2021
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