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Individual

ANDRES RODOLFO BOUCUGNANI ESTRADA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
APRN

Contact information

Practice address
12640 SW 77TH ST, MIAMI, FL 33183-3518
(786) 343-9061
Mailing address
12640 SW 77TH ST, MIAMI, FL 33183-3518

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11030578
FL

Other

Enumeration date
01/30/2024
Last updated
01/30/2024
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