Individual
KERLINE ISMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6105 SW 40TH ST, MIRAMAR, FL 33023-5109
(754) 971-4949
Mailing address
6105 SW 40TH ST, MIRAMAR, FL 33023-5109
(754) 971-4949
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
21-637
FL
Other
Enumeration date
11/20/2021
Last updated
11/20/2021
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