Search › Florida › 106S00000X
Odalys Porven Antigua
NPI 1497283519 · on the registry since 2017 · sole proprietor
Practice
- Address
- 1949 W 54th St Apt 203
Hialeah, FL 33012 - Phone
- (862) 911-6787
Additional practice sites
- 2500 Nw 79th Ave Ste 116, Doral, FL
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Also registered as
- 103K00000X
- Sex
- Female
- Record last updated
- 2022-07-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida