Individual
MRS. ANA MARIA IBATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5030 BRUNSON DR, CORAL GABLES, FL 33146-2412
(305) 284-3666
Mailing address
6854 NW 173RD DR APT 211, HIALEAH, FL 33015-4570
(786) 333-8332
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN11012472
FL
Other
Enumeration date
07/12/2021
Last updated
07/29/2021
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