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Individual

STEPHANIE ANN BIVONA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS

Contact information

Practice address
1601 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 243-6464
(305) 243-3919
Mailing address
1501 NW 10TH AVENUE, BRB-336 (M860), MIAMI, FL 33136
(305) 243-9461
(305) 243-3919

Taxonomy

Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
70
FL

Other

Enumeration date
09/10/2021
Last updated
09/10/2021
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