Individual
IDAMARIA DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
215 GRAND AVE, CORAL GABLES, FL 33133-4841
(305) 441-7179
Mailing address
8245 SW 93RD AVE, MIAMI, FL 33173-4113
(305) 299-2473
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
9228503
FL
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
9228503
FL
Other
Enumeration date
06/02/2011
Last updated
03/05/2020
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