Individual
IDALMIS PEDRERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
11325 SW 158TH CT, MIAMI, FL 33196-3132
(305) 299-6238
Mailing address
11325 SW 158TH CT, MIAMI, FL 33196-3132
(305) 299-6238
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
110037752
FL
Other
Enumeration date
09/30/2019
Last updated
09/30/2019
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