Alexander Clua, APRN
Nurse Practitioner, Family in Miramar, FL. Individual provider (NPI-1).
NPI number1649005646
StatusActive
Last updated in NPPESSep 9, 2024
Details
- NPI
- 1649005646
- Entity type
- Individual (NPI-1)
- Name
- Alexander Clua
- Credential
- APRN
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 9, 2024
- Certification date
- Sep 8, 2024
- Last updated
- Sep 9, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 11035141 | FL | Yes |
Practice location
18133 Sw 28th StMiramar, FL 33029-5152
Phone 786-218-7346
Mailing address
18133 Sw 28th StMiramar, FL 33029-5152
Phone 786-218-7346
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