Organization
MELANIO BRUCETA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELANIO BRUCETA APRN (OWNER)
(305) 409-9192
Entity
Organization
Contact information
Practice address
5731 PALM AVE, HIALEAH, FL 33012-2756
(305) 409-9192
Mailing address
5731 PALM AVE, HIALEAH, FL 33012-2756
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
—
Other
Enumeration date
03/22/2021
Last updated
03/22/2021
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