Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | ARNP9362017 | FL |
NPI | 1003362823 |
---|---|
Provider Name | Dr. Reinaldo Llorca |
First Address | Hialeah, FL 33010-2211 |
Second Address | Hialeah, FL 33012-4309 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2016 |
Last Update Date | 12/09/2016 |