Organization
AMESTOY NP PROFESSIONAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARMEN M AMESTOY APRN (AUTHORIZED OFFICAL)
(786) 493-3225
Entity
Organization
Contact information
Practice address
15535 SW 57TH ST, MIAMI, FL 33193-2513
(786) 493-3225
Mailing address
15535 SW 57TH ST, MIAMI, FL 33193-2513
(786) 493-3225
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APRN9364243
APRN
FL
Enumeration date
01/20/2020
Last updated
01/20/2020
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