Individual
MATTHEW PROMISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1201 NW 16TH ST, MIAMI, FL 33125-1624
(919) 791-9873
Mailing address
1850 SW 118TH AVE, MIRAMAR, FL 33025-5627
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
299790
FL
Other
Enumeration date
02/07/2015
Last updated
02/07/2015
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