Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | APRN9259890 | FL |
NPI | 1003175720 |
---|---|
Provider Name | Ana Lymaries Velez |
First Address | Miami Gardens, FL 33169-5710 |
Second Address | Lakeland, FL 33813-2101 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/05/2012 |
Last Update Date | 25/01/2021 |