Provider Demographics
NPI:1831720218
Name:HORTA BONNIN, FARAH MARIA (APRN)
Entity type:Individual
Prefix:
First Name:FARAH
Middle Name:MARIA
Last Name:HORTA BONNIN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:14680 SW 8TH ST STE 205
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33184-3138
Mailing Address - Country:US
Mailing Address - Phone:305-549-8937
Mailing Address - Fax:786-801-0880
Practice Address - Street 1:6701 SUNSET DR STE 212
Practice Address - Street 2:
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-4529
Practice Address - Country:US
Practice Address - Phone:305-663-0710
Practice Address - Fax:305-665-3051
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-04
Last Update Date:2022-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11005242363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily