Individual
BYRON STEPHEN LEGUISAMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1400 NW 12TH AVE, MIAMI, FL 33136-1003
(305) 689-2653
Mailing address
1400 NW 12TH AVE, MIAMI, FL 33136-1003
(305) 689-2653
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
11035839
FL
363LP2300X
Primary Care Nurse Practitioner
11035839
FL
Other
Enumeration date
10/10/2024
Last updated
10/06/2025
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