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1871228288
IDALVIS DE LA NOVAL
HIALEAH, FL
NPI
1871228288
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL 11018337)
Enumeration Date
2022-07-19
Last Update Date
2022-07-19
Business Address
IDALVIS DE LA NOVAL APRN
167 W 23RD ST
HIALEAH, FL 33010-2211
Phone number: 305-889-3111
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Mailing Address
IDALVIS DE LA NOVAL APRN
28302 SW 128TH PL
HOMESTEAD, FL 33033-7357
Phone number: 305-763-7141
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