Individual
MR. DAMIAN LAZARO BETANCOURT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
8974 NW 178TH LN, HIALEAH, FL 33018-6547
(786) 285-1344
Mailing address
8974 NW 178TH LN, HIALEAH, FL 33018-6547
(786) 285-1344
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11016496
FL
Other
Enumeration date
11/18/2021
Last updated
11/18/2021
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