Individual
MISS LUCIA V KODAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1701 NE 191 STREET, SUITE A 401, NORTH MIAMI BEACH, FL 33179
(305) 588-4258
Mailing address
1701 NE 191ST ST, SUITE -A 401, NORTH MIAMI BEACH, FL 33179-4200
(305) 588-4258
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3006432
FL
Other
Enumeration date
03/08/2007
Last updated
12/13/2007
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