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1366087132
IBERTTY CARMONA REGALADO
MIAMI, FL
NPI
1366087132
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL 11003500)
Enumeration Date
2019-11-15
Last Update Date
2019-11-15
Business Address
IBERTTY CARMONA REGALADO
4566 SW 164TH CT
MIAMI, FL 33185-5197
Phone number: 786-443-8042
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Mailing Address
IBERTTY CARMONA REGALADO
4566 SW 164TH CT
MIAMI, FL 33185-5197
Phone number: 786-443-8042
Copy
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