Individual
MRS. LARISSE DUARTE GREENWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5000 UNIVERSITY DR, CORAL GABLES, FL 33146-2008
(305) 448-9018
Mailing address
7600 S RED RD STE 229, SOUTH MIAMI, FL 33143-5408
(305) 448-9018
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9325649
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
11003552
FL
Other
Enumeration date
07/23/2019
Last updated
07/31/2019
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