Female

Ana M. Chavalo Campos MSM

Family Nurse Practitioner in Aventura, FL(View on Map)

Full Name

Ana Maria B Chavalo Campos MSM

NPI Number

1003647041

NPI Type

Individual Provider

Gender

Female

Enumeration Date

08/12/2024

Specialties

(Taxonomies)

Code

363LF0000X
363LP2300X

Primary Taxonomy

Yes
No

Licenses

State

Florida
Florida

License Number

APRN11034198
F07240198

Contact
Information

Purpose

Mailing
Location

Address

2608 S 16TH ST
2875 NE 191ST ST STE 500

City

Fort Pierce
Aventura

State

FL
FL

Postal Code

34982-5717
33180-2832

Country

US
US

Telephone Number

(772) 708-6792
(443) 383-9300

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 09/04/2024

Provider Address

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