Individual provider · NPI-1

Maikel Aguila Deustua, ARPN

Nurse Practitioner, Family · Homestead, FL

NPI number1689370421
StatusActive
Last updated in NPPESFeb 2, 2023

Details

NPI
1689370421
Entity type
Individual (NPI-1)
Name
Maikel Aguila Deustua
Credential
ARPN
Sex
Male
Sole proprietor
Yes
Enumeration date
Feb 2, 2023
Certification date
Feb 2, 2023
Last updated
Feb 2, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family11012521FLYes

Practice location

23625 Sw 113th Psge
Homestead, FL 33032-7134

Phone 305-764-7158

Mailing address

23625 Sw 113th Psge
Homestead, FL 33032-7134

Phone 305-764-7158

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