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1689427197
JEANNINE ANTONELLA ICAZA
CORAL GABLES, FL
NPI
1689427197
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: FL APRN11005030)
Enumeration Date
2024-04-08
Last Update Date
2024-05-13
Business Address
JEANNINE ANTONELLA ICAZA APRN
1240 S DIXIE HWY
CORAL GABLES, FL 33146-2902
Phone number: 305-669-2833
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Mailing Address
JEANNINE ANTONELLA ICAZA APRN
10273 SW 116TH ST # AT
MIAMI, FL 33176-4047
Phone number: 786-218-6613
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