Individual
EILEEN BETANCES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1096
(305) 585-1111
Mailing address
1700 NW 97TH AVE, # 226842, DORAL, FL 33172-1970
(305) 585-1111
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
APRN9497930
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN9497930
FL
Other
Enumeration date
12/27/2018
Last updated
02/13/2024
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