PRIMITIVO FORTUN PLANE

HIALEAH, FL
NPI1134998800
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: FL  APRN11029973)
Enumeration Date2023-12-22
Last Update Date2023-12-22
Business Address
PRIMITIVO FORTUN PLANE APRN
777 E 25TH ST STE 508
HIALEAH, FL 33013-3834
Phone number: 305-696-7772
Mailing Address
PRIMITIVO FORTUN PLANE APRN
777 E 25TH ST STE 508
HIALEAH, FL 33013-3834
Phone number: 305-696-7772
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