Individual
IHOVANA PERERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6181 SW 16TH TER, MIAMI, FL 33155-2116
(305) 224-2719
Mailing address
6181 SW 16TH TER, MIAMI, FL 33155-2116
(305) 224-2719
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
11038879
FL
Other
Enumeration date
04/24/2025
Last updated
04/24/2025
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