IMA EBONGO

MIAMI GARDENS, FL
NPI1992341523
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: FL  APRN11001398)
Enumeration Date2019-11-19
Last Update Date2019-11-19
Business Address
IMA EBONGO FNP
300 NW 183RD ST
MIAMI GARDENS, FL 33169-4464
Phone number: 305-999-0520
Mailing Address
IMA EBONGO FNP
300 NW 183RD ST
MIAMI GARDENS, FL 33169-4464
Phone number: 305-999-0520
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