Individual
BALIUNIS ORTEGA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6600 COW PEN RD, MIAMI LAKES, FL 33014-7600
(786) 246-9363
Mailing address
8066 NW 199TH TER, HIALEAH, FL 33015-6392
(786) 246-9363
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11024177
FL
Other
Enumeration date
03/20/2023
Last updated
05/11/2023
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