Individual
MRS. MARYLINE AMELIE SALIBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1400 NW 12TH AVE, MIAMI, FL 33136-1003
(954) 214-2134
Mailing address
1400 NW 12TH AVE, MIAMI, FL 33136-1087
(305) 325-5511
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
11016630
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
11016630
FL
364SG0600X
Gerontology Clinical Nurse Specialist
11016630
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
OTHER
FL
Enumeration date
06/19/2022
Last updated
12/05/2022
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