Individual
MAYRA CARMEN COSME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4160 W 16TH AVE STE 506, HIALEAH, FL 33012-5884
(305) 819-4432
(305) 819-3764
Mailing address
20448 SW 93RD AVE, CUTLER BAY, FL 33189-3210
(305) 431-9067
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9292569
FL
207Q00000X
Family Medicine Physician
APRN11023634
FL
Other
Enumeration date
09/28/2021
Last updated
02/23/2023
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