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Individual

MIRTHAS ALEXANDRE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
7900 NW 27TH AVE STE E-12, MIAMI, FL 33147-4909
(786) 318-2337
(305) 575-1158
Mailing address
7900 NW 27TH AVE STE E-12, MIAMI, FL 33147-4909
(786) 318-2337
(305) 575-1158

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN9492770
FL
163WG0000X
General Practice Registered Nurse
RN9492770
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A425550850280
DRIVERS LICENSE
FL
Enumeration date
05/20/2019
Last updated
05/20/2019
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