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Doctors / FL
NURSE PRACTITIONER
Graduated: 2023
NPI: 1942092671
1525 W CYPRESS CREEK RD
FORT LAUDERDALE, FL 33309
PO BOX
LAS VEGAS, NV 89193
PO BOX, SUITE 2129
ODESSA, TX 79760
Source: CMS National Downloadable File, September 2026.