Individual
EDA AUGUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1400 NW 12TH AVE, MIAMI, FL 33136-1003
(305) 243-5302
Mailing address
5222 SW 158TH AVE, MIRAMAR, FL 33027-4989
(305) 342-3547
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9215585
FL
363LF0000X
Family Nurse Practitioner
9215585
FL
Other
Enumeration date
03/23/2016
Last updated
03/30/2016
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