Individual
IANTHA BAZILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
306 LINCOLN RD, MIAMI BEACH, FL 33139-3103
(305) 531-7311
Mailing address
306 LINCOLN RD, MIAMI BEACH, FL 33139-3103
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9524544
FL
Other
Enumeration date
12/18/2020
Last updated
05/18/2021
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