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1326793191
MAXIMO CANDIDO AVILA
MIAMI, FL
NPI
1326793191
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: FL APRN11017068)
Enumeration Date
2022-02-19
Last Update Date
2023-04-26
Business Address
MAXIMO CANDIDO AVILA MSN, APRN, PMHNP-BC
11760 SW 40TH ST STE 511
MIAMI, FL 33175-8100
Phone number: 786-308-3444
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Mailing Address
MAXIMO CANDIDO AVILA MSN, APRN, PMHNP-BC
650 NE 149TH ST APT 108A
NORTH MIAMI, FL 33161-2279
Phone number: 786-308-3444
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