Individual
LIZANETTE KOONTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2136 NW 18TH ST, MIAMI, FL 33125-1316
(786) 218-6344
Mailing address
2136 NW 18TH ST, MIAMI, FL 33125-1316
(786) 218-6344
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11042956
FL
Other
Enumeration date
12/27/2025
Last updated
01/21/2026
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