Individual
TANZIE AVELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
12196 SW 128TH ST, MIAMI, FL 33186-5231
(786) 556-4440
Mailing address
12196 SW 128TH ST, MIAMI, FL 33186-5231
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
9280748
FL
363LG0600X
Gerontology Nurse Practitioner
9280748
FL
Other
Enumeration date
12/15/2013
Last updated
12/15/2013
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