Individual
IRIANNIS PUPO CAMPOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
774 W 31ST ST, HIALEAH, FL 33012-5339
(786) 219-5743
Mailing address
774 W 31ST ST, HIALEAH, FL 33012-5339
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
11043313
FL
Other
Enumeration date
11/03/2025
Last updated
11/06/2025
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