Individual
COSME JOSE LLERENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
8742 SW 161ST AVE, MIAMI, FL 33193-5403
(786) 543-7403
Mailing address
8742 SW 161ST AVE, MIAMI, FL 33193-5403
(786) 543-7403
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11006299
FL
Other
Enumeration date
07/08/2020
Last updated
07/08/2020
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