Individual
KRISTINE H O'PHELAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1120 NW 14TH ST, MIAMI, FL 33136
(305) 243-6175
Mailing address
1120 NW 14TH ST, MIAMI, FL 33136-2107
(305) 243-6175
Taxonomy
Speciality
Code
Description
License number
State
2084A2900X
Neurocritical Care Physician
Primary
ME102998
FL
2084N0400X
Neurology Physician
ME102998
FL
Other
Enumeration date
12/14/2006
Last updated
01/24/2025
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