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1356949192
IVAN A BERTOT
MIAMI LAKES, FL
NPI
1356949192
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL 11009321)
Enumeration Date
2020-10-14
Last Update Date
2020-10-14
Business Address
IVAN A BERTOT
8757 NW 139TH TER
MIAMI LAKES, FL 33018-7379
Phone number: 786-333-6191
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Mailing Address
IVAN A BERTOT
8757 NW 139TH TER
MIAMI LAKES, FL 33018-7379
Phone number: 786-333-6191
Copy
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