Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP2300X | Nurse Practitioner - Primary Care | ARNP9275720 | FL |
NPI | 1023420858 |
---|---|
Provider Name | Mrs. Luce W. Solari-Suprena |
First Address | North Miami, FL 33181-3138 |
Second Address | North Miami, FL 33181-3139 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/05/2014 |
Last Update Date | 07/01/2020 |