Individual
DUDLEY PHILISTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16821 NE 6TH AVE, NORTH MIAMI BEACH, FL 33162-2405
(786) 953-6534
(786) 250-1938
Mailing address
4921 NW 72ND AVE, LAUDERHILL, FL 33319-3461
(954) 864-0261
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
376K00000X
Nurse's Aide
CNA214556
FL
Other
Enumeration date
12/29/2023
Last updated
04/26/2024
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