Individual
ERNESTO ENRIQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ARNP, AGNP-BC
Contact information
Practice address
15105 NW 77TH AVE, MIAMI LAKES, FL 33014-7803
(305) 455-2737
(305) 455-2738
Mailing address
1595 SW 122ND AVE APT 4, MIAMI, FL 33184-2839
(305) 250-8041
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN9411036
FL
Other
Enumeration date
08/24/2018
Last updated
07/10/2024
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