Individual
ATHENA LUZOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13850 NW 41ST ST, DORAL, FL 33178-3004
(786) 263-4933
(786) 263-5057
Mailing address
405 NW 130TH ST, NORTH MIAMI, FL 33168-3746
(305) 685-7277
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1245132
FL
Other
Enumeration date
07/15/2016
Last updated
07/15/2016
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