Individual
YARELIS ALICEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3100 SW 62ND AVE, MIAMI, FL 33155-3009
(305) 666-6511
Mailing address
3100 SW 62 AVE, MIAMI, FL 33155
(305) 666-6511
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN9243302
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019830800
—
FL
Enumeration date
11/30/2016
Last updated
02/11/2022
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