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Individual

JAVIER ALFONSO BAUTISTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
APRN

Contact information

Practice address
5000 W OAKLAND PARK BLVD, LAUDERDALE LAKES, FL 33313-1585
(305) 928-7249
(305) 630-3632
Mailing address
8370 W FLAGLER ST STE 226, MIAMI, FL 33144-2040
(305) 785-1348
(305) 630-3632

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
11008106
FL
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN11008106
FL
363LA2100X
Acute Care Nurse Practitioner
Primary
ARNP11008106
FL

Other

Enumeration date
07/23/2020
Last updated
03/31/2026
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