Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207PE0004X | Emergency Medical Services | PA9113969 | FL |
NPI | 1114516903 |
---|---|
Provider Name | Alyssa Nicole De Armas |
First Address | Davie, FL 33331-2747 |
Second Address | Clearwater, FL 33756-3892 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/01/2021 |
Last Update Date | 15/01/2021 |