Individual
MANDI-SIMONE ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 585-8508
Mailing address
5807 NW 42ND LN, COCONUT CREEK, FL 33073-4041
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
ARNP9212769
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN9212769
FL
Other
Enumeration date
01/06/2015
Last updated
06/28/2024
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