Individual
MAXIMO CANDIDO AVILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN, APRN, PMHNP-BC
Contact information
Practice address
11760 SW 40TH ST STE 511, MIAMI, FL 33175-8100
(786) 308-3444
Mailing address
650 NE 149TH ST APT 108A, NORTH MIAMI, FL 33161-2279
(786) 308-3444
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11017068
FL
Other
Enumeration date
02/19/2022
Last updated
04/26/2023
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