Individual
MR. LASCELLES KIRBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
14261 SW 120TH ST STE 108-531, MIAMI, FL 33186-7270
(954) 248-0096
(954) 516-0677
Mailing address
14261 SW 120TH ST STE 108-531, MIAMI, FL 33186-7270
(954) 248-0096
(954) 686-5574
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
RN9213651
FL
163WC3500X
Cardiac Rehabilitation Registered Nurse
RN9213651
FL
163WD1100X
Peritoneal Dialysis Registered Nurse
RN9213651
FL
171M00000X
Case Manager/Care Coordinator
RN9213651
FL
Other
Enumeration date
04/15/2024
Last updated
12/13/2025
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