Individual
SUANY PICHARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3022 SW 17TH ST, MIAMI, FL 33145-1910
(786) 290-5676
Mailing address
3022 SW 17TH ST, MIAMI, FL 33145-1910
(786) 290-5676
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9454116
FL
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN11016498
FL
Other
Enumeration date
08/24/2021
Last updated
05/03/2022
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