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Ms. Liseberthe Theodore, ARNP
Family Nurse Practitioner in Miami, Florida
NPI 1740499870

Liseberthe Theodore is a Family Nurse Practitioner based in South Florida, FL and is specialized in Family. Liseberthe Theodore practices in Miami, FL and has the professional credentials of ARNP. The NPI Number for Liseberthe Theodore is 1740499870 and holds a License No. 2527672 (Florida).

The current practice location address for Liseberthe Theodore is 1611 Nw 12Th Ave, Miami, FL and can be reached out via phone at 786-466-4009.

Location: 1611 Nw 12Th Ave, Miami, FL, 33082-2433
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740499870
Provider Name
Liseberthe Theodore
Credential
ARNP
Provider Entity Type
Individual
Gender
Female
Address
1611 Nw 12Th Ave, Miami, FL, 33082-2433
Phone Number
786-466-4009
Fax Number
Provider Enumeration Date
05/22/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1611 Nw 12Th Ave
City
Miami
State
Florida
Zip
33136-1005
Phone Number
786-466-4009
Fax Number
person
Provider Business Mailing Address Details
Address
1611 Nw 12Th Ave
City
Miami
State
Florida
Zip
33136-1005
Phone Number
786-466-4009
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
2527672 (Florida)
Definition
Definition to come...
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