Individual
GRACE C KITTELLE-CINTAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1193 W 49TH ST, HIALEAH, FL 33012-3337
(305) 777-9190
(305) 779-9190
Mailing address
900 S PINE ISLAND RD STE 800, PLANTATION, FL 33324-3923
(305) 777-9190
(305) 779-0729
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN9163404
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015034900
—
FL
Enumeration date
07/10/2014
Last updated
05/04/2020
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