Individual
AMLENIS DE LA CARIDAD PEREA TRISTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6590 SW 33RD ST, MIAMI, FL 33155-3954
(786) 715-5925
Mailing address
6590 SW 33RD ST, MIAMI, FL 33155-3954
(786) 715-5925
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
0-21-13304
FL
363LF0000X
Family Nurse Practitioner
Primary
APRN11021206
FL
Other
Enumeration date
05/02/2020
Last updated
03/06/2023
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