Individual
ODALIS ALTAGRACIA BAEZ SANTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
20215 NW 2ND AVE STE 1, MIAMI, FL 33169-2538
(305) 685-5688
(305) 652-4545
Mailing address
3130 NW 174TH ST, MIAMI GARDENS, FL 33056-4041
(786) 541-7400
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
9428683
FL
Other
Enumeration date
10/13/2017
Last updated
10/13/2017
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