Individual
LORETA ANON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 585-8508
Mailing address
5801 NW 151ST ST STE 200B, MIAMI LAKES, FL 33014-2437
(954) 639-7119
(954) 639-7124
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT-24-334407
FL
363LA2100X
Acute Care Nurse Practitioner
11000305
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
11000305
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11000305
APRN LICENSE
FL
01
—
24-334407
RBT LICENSE
FL
Enumeration date
11/27/2018
Last updated
05/15/2025
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