Individual
BETZY MEDERO MILLAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12915 SW 47TH TER, MIAMI, FL 33175-4521
(786) 255-0461
Mailing address
12915 SW 47TH TER, MIAMI, FL 33175-4521
(786) 255-0461
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11034977
FL
Other
Enumeration date
09/16/2024
Last updated
09/16/2024
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