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NPI Code Detail

MEDICARE: AMBER LEE LUBIE

MEDICARE:   AMBER LEE LUBIE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner11029099FL

General Provider Information

NPI Number : 1164203675
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMBER LEE LUBIE
Provider Business Mailing Address
First Line : 2526 NE 206TH TER
Second Line :
City : MIAMI
State : FL
Zip : 33180-1347
Country : US
Telephone Number : 305-965-5077
Fax Number :
Provider Business Practice Location Address
First Line : 5901 SW 74TH ST STE 302
Second Line :
City : MIAMI
State : FL
Zip : 33143-5163
Country : US
Telephone Number : 305-390-8440
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/10/2023
Last Update Date : 06/05/2024

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Directions to “ AMBER LEE LUBIE ” Practice Location

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