Individual
MICHAEL FREDERICK AVILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1501 NW 36TH ST, MIAMI, FL 33142-5559
(786) 378-8200
Mailing address
9801 SW 148TH AVE, MIAMI, FL 33196-1643
(786) 319-7889
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
9431964
FL
Other
Enumeration date
10/20/2017
Last updated
10/20/2017
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