Individual
MRS. THITIPORN LERTRATANAKUL SHAFFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
8900 N KENDALL DR, MIAMI, FL 33176-2197
(305) 928-7249
(305) 630-3632
Mailing address
8370 W FLAGLER ST STE 226, MIAMI, FL 33144-2040
(305) 928-7249
(305) 630-3632
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
ARNP2118932
FL
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN2118932
FL
363LA2200X
Adult Health Nurse Practitioner
APRN2118932
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112888600
—
FL
01
—
ARNP2118932
LICENSE NO.
FL
Enumeration date
08/30/2010
Last updated
07/10/2024
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