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Ibertty Carmona Regalado
Family Nurse Practitioner in Miami, Florida
NPI 1366087132

Ibertty Carmona Regalado is a Family Nurse Practitioner based in Miami, FL and is specialized in Family. Ibertty Carmona Regalado practices in Miami, FL. The NPI Number for Ibertty Carmona Regalado is 1366087132 and holds a License No. 11003500 (Florida).

The current practice location address for Ibertty Carmona Regalado is 4566 Sw 164Th Ct, Miami, FL and can be reached out via phone at 786-443-8042.

Location: 4566 Sw 164Th Ct, Miami, FL, 33185-5197
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366087132
Provider Name
Ibertty Carmona Regalado
Credential
Provider Entity Type
Individual
Gender
Male
Address
4566 Sw 164Th Ct, Miami, FL, 33185-5197
Phone Number
786-443-8042
Fax Number
Provider Enumeration Date
11/15/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4566 Sw 164Th Ct
City
Miami
State
Florida
Zip
33185-5197
Phone Number
786-443-8042
Fax Number
person
Provider Business Mailing Address Details
Address
4566 Sw 164Th Ct
City
Miami
State
Florida
Zip
33185-5197
Phone Number
786-443-8042
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
11003500 (Florida)
Definition
Definition to come...
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