Individual
GISELLE CARIDAD TAMAYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, NP-C, RN
Contact information
Practice address
11460 SW 204TH ST, MIAMI, FL 33189-1047
(305) 962-2770
Mailing address
11460 SW 204TH ST, MIAMI, FL 33189-1047
(305) 962-2770
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11003212
FL
Other
Enumeration date
07/15/2019
Last updated
07/15/2019
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