Individual
BLANCA MILAGROS CASANUEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
5901 NW 40TH ST, VIRGINIA GARDENS, FL 33166-5770
(305) 244-1477
Mailing address
5901 NW 40TH ST, VIRGINIA GARDENS, FL 33166-5770
(305) 244-1477
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN11009971
FL
Other
Enumeration date
11/28/2020
Last updated
11/28/2020
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