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Individual

MRS. GRISEL CARIDAD FDEZ-VEGA MARTINEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
1400 NW 12TH AVE, MIAMI, FL 33136-1087
(305) 325-5511
Mailing address
1120 NW 14 STREET, 11TH FLOOR, DEPT OF MEDICINE/DIVISION OF PALLIATIVE CARE, MIAMI, FL 33136
(305) 243-1000

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9235118
FL

Other

Enumeration date
09/11/2018
Last updated
09/11/2018
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