Individual
MS. OMENA PASTORIA WINT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(954) 534-6431
Mailing address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2166932
FL
363L00000X
Nurse Practitioner
2166932
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
2166932
FL
Other
Enumeration date
03/30/2016
Last updated
11/12/2019
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