Individual
MIREILLE VICTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
366 S MAIN ST, BELLE GLADE, FL 33430-3428
(561) 847-4794
(561) 847-4574
Mailing address
1511 PROSPERITY FARMS RD STE 100, LAKE PARK, FL 33403-2046
(561) 847-4794
(561) 847-4574
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
APRN11006338
FL
Other
Enumeration date
02/20/2020
Last updated
04/06/2021
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