Individual
ASIEL REGUEIRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN, FNP-C, AGACNP-C
Contact information
Practice address
1690 DUNLAWTON AVE STE 210, PORT ORANGE, FL 32127-8980
(386) 763-4920
Mailing address
10260 SW 134TH ST, MIAMI, FL 33176-6143
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11019586
FL
Other
Enumeration date
09/19/2022
Last updated
07/17/2024
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