Organization
HEALTH KTP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRA TEJADA APRN (NURSE PRACTITIONER)
(786) 245-3035
Entity
Organization
Contact information
Practice address
12955 BISCAYNE BLVD STE 200, NORTH MIAMI, FL 33181-2021
(786) 245-3035
Mailing address
12955 BISCAYNE BLVD STE 200, NORTH MIAMI, FL 33181-2021
(786) 245-3035
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
11/01/2024
Last updated
11/25/2024
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