Individual
NICHOLAS J JURYSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
8900 N KENDALL DR, MIAMI, FL 33176-2118
(786) 596-1960
Mailing address
9731 DOMINICAN DR, CUTLER BAY, FL 33189-1639
(786) 315-7729
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
APRN11028691
FL
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
11028691
FL
Other
Enumeration date
09/19/2023
Last updated
12/14/2023
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