Individual
BEATRIZ ILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
9240 SW 72ND ST STE 241, MIAMI, FL 33173-3265
(305) 271-1919
(305) 271-1911
Mailing address
10791 N KENDALL DR APT B208, MIAMI, FL 33176-1462
(305) 283-2399
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN11001346
FL
Other
Enumeration date
03/29/2019
Last updated
03/29/2019
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