Individual
NICOLE BORREGO REDONDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3100 SW 62ND AVE, MIAMI, FL 33155-3009
(305) 666-6511
Mailing address
3100 SW 62ND AVE, MIAMI, FL 33155-3009
(305) 666-6511
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
ME155840
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/22/2018
Last updated
04/29/2024
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