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Individual

JOY ADELLA GLAZE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
1801 NW 9TH AVE, MIAMI, FL 33136
(305) 355-5220
Mailing address
1801 NW 9TH AVE, MIAMI, FL 33136-1101
(305) 355-5220

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
2213562
FL
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
2213562
FL

Other

Enumeration date
06/26/2008
Last updated
06/07/2021
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