Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | ARNP9228629 | FL |
N | 111NI0900X | Internist | ARNP9228629 | FL |
Y | 363LA2200X | Nurse Practitioner - Adult Health | APRN9228629 | FL |
NPI | 1003042581 |
---|---|
Provider Name | Mrs. Dania M Verdecia |
First Address | Miami, FL 33175 |
Second Address | Miami, FL 33175 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/06/2009 |
Last Update Date | 17/05/2019 |