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Darlyla Altidor Naissance

Nurse Practitioner, Family in Miramar, FL. Individual provider (NPI-1).

NPI number1194298331
StatusActive
Last updated in NPPESJan 10, 2019

Details

NPI
1194298331
Entity type
Individual (NPI-1)
Name
Darlyla Altidor Naissance
Sex
Female
Sole proprietor
No
Enumeration date
Jan 10, 2019
Last updated
Jan 10, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family9386538FLYes

Practice location

2788 Sw 177th Ave
Miramar, FL 33029-5142

Phone 561-572-7606

Mailing address

2788 Sw 177th Ave
Miramar, FL 33029-5142

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