Organization
AMAVIE WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAHOMIE MIRVILLE DNP,AAPRN,FNP-BC (OWNER)
(786) 285-9682
Entity
Organization
Contact information
Practice address
1492 NW 153RD AVE, PEMBROKE PINES, FL 33028-2453
(786) 285-9682
Mailing address
1492 NW 153RD AVE, PEMBROKE PINES, FL 33028-2453
(786) 285-9682
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
04/24/2020
Last updated
02/02/2021
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