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1386253656
JAVIER ALFONSO BAUTISTA
MIAMI, FL
NPI
1386253656
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: FL 11008106)
Enumeration Date
2020-07-23
Last Update Date
2020-07-23
Business Address
JAVIER ALFONSO BAUTISTA ARNP
470 NE 110TH TER
MIAMI, FL 33161-7152
Phone number: 305-785-1348
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Mailing Address
JAVIER ALFONSO BAUTISTA ARNP
470 NE 110TH TER
MIAMI, FL 33161-7152
Phone number: 305-785-1348
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