Individual
IVEN DUPERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
7000 NW 41ST ST, MIAMI, FL 33166-6817
(786) 263-4040
Mailing address
1175 NW 155TH LN APT 207, MIAMI, FL 33169-6327
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
9420416
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11012611
FL
Other
Enumeration date
12/23/2020
Last updated
07/21/2021
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