Individual
JOHANA A MAYOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3100 SW 62ND AVE, MIAMI, FL 33155-3009
(786) 226-7496
Mailing address
3100 SW 62ND AVE, MIAMI, FL 33155-3009
(786) 226-7496
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
APRN11004524
FL
363LP0200X
Pediatric Nurse Practitioner
APRN11004524
FL
Other
Enumeration date
06/13/2021
Last updated
04/26/2024
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