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Stephanie Licona
NPI 1952667024 · on the registry since 2012 · sole proprietor
Practice
- Address
- 1201 Nw 16th St
Miami, FL 33125 - Phone
- (305) 575-3148
- Organisation at this address
- Dfas
Miami Vamc
Miami Vamc
Dvamc Miami
Veteran Hospital MiamiInferred from a shared address, not stated in the registry. - Clinicians at this address
- 697
Additional practice sites
- 2153 Coral Way, Miami, FL
- 800 Nw 95th St, Miami, FL
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Sex
- Female
- Record last updated
- 2018-05-24
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