Individual
MISS ADA COUNTESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 243-6358
(305) 243-3300
Mailing address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 243-6358
(305) 243-3300
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9225721
FL
Other
Enumeration date
02/08/2012
Last updated
08/10/2020
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