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Individual

MRS. MAYRA A PERROTTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
2801 NW 79TH AVE, DORAL, FL 33122-1174
(305) 585-8342
Mailing address
11479 NW 4TH LN, MIAMI, FL 33172-4964
(786) 547-8043

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN9294240
FL
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN9294240
FL

Other

Enumeration date
09/20/2013
Last updated
10/16/2023
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