Individual
MR. EVELIO MANTEIRA BARBAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AGNP
Contact information
Practice address
8900 N KENDALL DR, MIAMI, FL 33176-2118
(786) 596-2000
(305) 279-7778
Mailing address
PO BOX 743144, ATLANTA, GA 30374-3144
(786) 596-2000
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
RN9480510
FL
363L00000X
Nurse Practitioner
Primary
APRN11004945
FL
Other
Enumeration date
07/21/2019
Last updated
09/26/2022
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