Organization
ELITE NURSE PRACTITIONERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND RODRIGUEZ AMPUDIA (PRESIDENT)
(305) 726-7888
Entity
Organization
Contact information
Practice address
6646 SW 63RD TER, SOUTH MIAMI, FL 33143-2023
(305) 726-7888
Mailing address
6646 SW 63RD TER, SOUTH MIAMI, FL 33143-2023
(305) 726-7888
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
ARNP9265567
FL
Other
Enumeration date
01/07/2016
Last updated
01/07/2016
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