Organization
TDN HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR MANUEL TATIS DE LA NUEZ APRN (MANAGING MEMBER)
(484) 538-0690
Entity
Organization
Contact information
Practice address
11389 SW 65TH ST, MIAMI, FL 33173-1974
(484) 538-0690
Mailing address
11389 SW 65TH ST, MIAMI, FL 33173-1974
(484) 538-0690
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/05/2026
Last updated
05/05/2026
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