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Individual

MAIRINA CHAMIZO RODRIGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
14755 SW 168TH TER, MIAMI, FL 33187-1759
(786) 457-0375
Mailing address
14755 SW 168TH TER, MIAMI, FL 33187-1759
(786) 457-0375

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
11006529
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11006529
FL

Other

Enumeration date
03/14/2020
Last updated
06/09/2022
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