Individual
BERNARDITA LLURBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 585-5768
Mailing address
1757 W 72ND ST, HIALEAH, FL 33014-4465
(954) 436-6653
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
1019762
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1019762
ARNP LICENSE
FL
Enumeration date
08/13/2006
Last updated
07/08/2007
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