Individual
ANDAL MAYILVAGANAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1400 NW 12TH AVE FL 33136, MIAMI, FL 33136-1003
(305) 325-5511
Mailing address
1400 NW 12TH AVE FL 1400NW12, MIAMI, FL 33136-1003
(305) 325-5511
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11023960
FL
Other
Enumeration date
02/14/2020
Last updated
05/30/2023
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