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NPI Code Detail

MEDICARE: DAYANA BERNAL

MEDICARE: DAYANA BERNAL
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
1163WH0200XHome Health Registered Nurse9376449FL

General Provider Information

NPI Number : 1164837472
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAYANA BERNAL
Provider Business Mailing Address
First Line : 2500 NW 107TH AVE STE 200
Second Line :
City : DORAL
State : FL
Zip : 33172-5923
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2500 NW 107TH AVE STE 200
Second Line :
City : DORAL
State : FL
Zip : 33172-5923
Country : US
Telephone Number : 305-406-0262
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2014
Last Update Date : 06/25/2014

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Directions to “ DAYANA BERNAL ” Practice Location

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