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Nursing Service Providers Registered Nurse Oncology

Provider NPI: 1699063388

Organization Information:
Organization is not Subpart
Authorized Official:  LLUDIVINA  VIGIL  PRESIDENT  305-279-8187

Practice Location:
10651 N KENDALL DR STE 117 MIAMI, FL 33176-1569 US
Tel: 305-279-8187  Fax: 305-279-8194

Business Mailing Address:
10651 N KENDALL DR STE 117 MIAMI, FL 33176-1569 US
Tel: 305-279-8187  Fax: 305-279-8194

NPI Information:
NPI: 1699063388
Entity Type: Organization


PrimaryCodeCategory/DescriptionStateLicense Number
Y163WX0200XNursing Service Providers
Registered Nurse

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 163WX0200X





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