Individual
DURVIN GLORIA BONOME HERMOSILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1013 NW 29TH AVE, MIAMI, FL 33125-2924
(786) 609-1183
Mailing address
1013 NW 29TH AVE, MIAMI, FL 33125-2924
(786) 609-1183
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
APRN11008943
FL
Other
Enumeration date
09/08/2020
Last updated
02/05/2023
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