Individual
MARIANELA ASCUNCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1475 NW 12TH AVE, MIAMI, FL 33136-1002
(305) 243-4860
(305) 243-9161
Mailing address
1475 NW 12TH AVE, MIAMI, FL 33136-1002
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
11028383
FL
Other
Enumeration date
10/18/2023
Last updated
06/05/2024
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