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Ivan A Bertot
Family Nurse Practitioner in Miami Lakes, Florida
NPI 1356949192

Ivan A Bertot is a Family Nurse Practitioner based in Miami Lakes, FL and is specialized in Family. Ivan A Bertot practices in Miami Lakes, FL. The NPI Number for Ivan A Bertot is 1356949192 and holds a License No. 11009321 (Florida).

The current practice location address for Ivan A Bertot is 8757 Nw 139Th Ter, Miami Lakes, FL and can be reached out via phone at 786-333-6191.

Location: 8757 Nw 139Th Ter, Miami Lakes, FL, 33018-7379
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356949192
Provider Name
Ivan A Bertot
Credential
Provider Entity Type
Individual
Gender
Male
Address
8757 Nw 139Th Ter, Miami Lakes, FL, 33018-7379
Phone Number
786-333-6191
Fax Number
Provider Enumeration Date
10/14/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8757 Nw 139Th Ter
City
Miami Lakes
State
Florida
Zip
33018-7379
Phone Number
786-333-6191
Fax Number
person
Provider Business Mailing Address Details
Address
8757 Nw 139Th Ter
City
Miami Lakes
State
Florida
Zip
33018-7379
Phone Number
786-333-6191
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
11009321 (Florida)
Definition
Definition to come...
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