Inieddy Rodriguez Bornot
Nurse Practitioner, Acute Care in Miami Beach, FL. Individual provider (NPI-1).
NPI number1043085178
StatusActive
Last updated in NPPESNov 18, 2025
Details
- NPI
- 1043085178
- Entity type
- Individual (NPI-1)
- Name
- Inieddy Rodriguez Bornot
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 20, 2023
- Certification date
- Nov 18, 2025
- Last updated
- Nov 18, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2100X | Nurse Practitioner, Acute Care | APRN11029790 | FL | Yes |
| 363LF0000X | Nurse Practitioner, Family | 11029790 | FL |
Practice location
4302 Alton RdMiami Beach, FL 33140-2891
Phone 786-584-5560 · Fax 786-584-5061
Mailing address
4302 Alton RdMiami Beach, FL 33140-2891
Phone 786-584-5560 · Fax 786-584-5061
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