Individual
NICOLE G IRIZARRY- DEL VALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11750 SW 40TH ST, MIAMI, FL 33175-3530
(305) 222-5685
Mailing address
11750 SW 40TH ST, MIAMI, FL 33175-3530
(305) 222-5685
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME140835
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/25/2016
Last updated
03/12/2020
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