Individual
AVA ANA MARIE VIRELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
5572 SW 28TH TER, FORT LAUDERDALE, FL 33312-6572
(305) 785-4880
Mailing address
5572 SW 28TH TER, FORT LAUDERDALE, FL 33312-6572
(305) 785-4880
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11014946
FL
Other
Enumeration date
08/31/2021
Last updated
08/31/2021
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