Individual
KAROL COFINO MATOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN9568867
Contact information
Practice address
21540 SW 125TH PSGE, MIAMI, FL 33177-5793
(786) 720-0862
Mailing address
21540 SW 125TH PSGE, MIAMI, FL 33177-5793
(786) 720-0862
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9568867
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11033067
FL
Other
Enumeration date
10/25/2023
Last updated
09/06/2024
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