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Kimani Douglas

Licensed Practical Nurse in Plantation, FL. Individual provider (NPI-1).

NPI number1114854247
StatusActive
Last updated in NPPESMay 5, 2026

Details

NPI
1114854247
Entity type
Individual (NPI-1)
Name
Kimani Douglas
Sex
Male
Sole proprietor
Yes
Enumeration date
May 5, 2026
Certification date
May 4, 2026
Last updated
May 5, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164W00000X Licensed Practical Nurse356406NYYes

Practice location

5281 Sw 8th Ct
Plantation, FL 33317-4737

Phone 754-215-1650

Mailing address

5281 Sw 8th Ct
Plantation, FL 33317-4737

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