Individual
MARIA SOFIA CONDOMI ALCORTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN/RNFA/P.A.
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9659665
FL
163WR0006X
Registered Nurse First Assistant
RN9659665
FL
246ZC0007X
Surgical Assistant
22-626
FL
363A00000X
Physician Assistant
3058
PR
363AS0400X
Surgical Physician Assistant
3058
PR
Other
Enumeration date
07/16/2024
Last updated
05/11/2026
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