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NPI Code Detail

MEDICARE: KENIA CARBONELL MURIA

MEDICARE:   KENIA  CARBONELL MURIA
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 Practitioner9339297FL

General Provider Information

NPI Number : 1295159630
Entity Type Code : Individual
Provider Name (Legal Business Name) : KENIA CARBONELL MURIA
Provider Business Mailing Address
First Line : 6100 BLUE LAGOON DR 365
Second Line :
City : MIAMI
State : FL
Zip : 33126-7010
Country : US
Telephone Number : 786-322-7358
Fax Number : 786-322-7329
Provider Business Practice Location Address
First Line : 1490NW27TH AVE 130
Second Line :
City : MIAMI
State : FL
Zip : 33125-2173
Country : US
Telephone Number : 305-635-7710
Fax Number : 786-621-7817
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2014
Last Update Date : 10/07/2015

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Directions to “ KENIA CARBONELL MURIA ” Practice Location

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