LUIS MANUEL VANDAMA BRIZUELA

HIALEAH, FL
NPI1104449644
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: FL  APRN11007011)
Enumeration Date2020-05-19
Last Update Date2020-05-19
Business Address
LUIS MANUEL VANDAMA BRIZUELA APRN
681 W 50TH PL
HIALEAH, FL 33012-3614
Phone number: 954-826-6363
Mailing Address
LUIS MANUEL VANDAMA BRIZUELA APRN
681 W 50TH PL
HIALEAH, FL 33012-3614
Phone number: 954-826-6363