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Doctors / FL
NURSE PRACTITIONER
Graduated: 2021
NPI: 1083367254
1608 SE 3RD AVE, FL 3
FORT LAUDERDALE, FL 333162564
4875 N FEDERAL HWY
FORT LAUDERDALE, FL 33308
PO BOX, SUITE 531853
ATLANTA, GA 303531853
Source: CMS National Downloadable File, September 2026.