Individual
STALIN MIKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1201 NW 16TH ST, MIAMI, FL 33125-1624
(305) 575-7000
Mailing address
18860 NW 57TH AVE APT 303, HIALEAH, FL 33015-7031
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9252291
FL
Other
Enumeration date
05/03/2013
Last updated
05/03/2013
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