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NPI Code Detail

MEDICARE: KRISTINA SAMONE BOURNE

MEDICARE:   KRISTINA SAMONE BOURNE
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
1363LC0200XCritical Care Medicine Nurse PractitionerAPRN11042513FL

General Provider Information

NPI Number : 1184589715
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTINA SAMONE BOURNE
Provider Business Mailing Address
First Line : 8900 N KENDALL DR
Second Line :
City : MIAMI
State : FL
Zip : 33176-2118
Country : US
Telephone Number : 305-562-5999
Fax Number :
Provider Business Practice Location Address
First Line : 8900 N KENDALL DR
Second Line :
City : MIAMI
State : FL
Zip : 33176-2118
Country : US
Telephone Number : 305-562-5999
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/16/2025
Last Update Date : 12/16/2025

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Directions to “ KRISTINA SAMONE BOURNE ” Practice Location

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