Doctor Name: | AIMEE BERMUDEZ |
NPI Number: | 1003201468 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 9310332 |
Business Practice Address: | 1951 Sw 172nd Ave Suite 305 Miramar, FL - 330295593 |
Business Phone Number: | 3056067028 |
Business Fax Number: | 9543622761 |
Mailing Address: | 6003 Pine Ridge Rd, Attn: Payer Contracting & Relations Dept. NAPLES |
State: | FL |
Postal Code: | 341193956 |
Phone Number: | 2399317342 |
Fax Number: | 2399317385 |
NPI Enumeration Date: | 04/02/2015 |
NPI Last Update Date: | 02/29/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 9310332 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |