Organization · NPI-2

Associates Of Family Practice

Nurse Practitioner, Family · Davie, FL

NPI number1730304932
StatusActive
Last updated in NPPESJul 15, 2008

Details

NPI
1730304932
Entity type
Organization (NPI-2)
Legal business name
Associates Of Family Practice
Organization subpart
No
Enumeration date
Apr 15, 2007
Last updated
Jul 15, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilyARNP 9194742FLYes

Practice location

4801 S University Dr Ste 104
Davie, FL 33328-3835

Phone 954-434-1705

Mailing address

3850 Falcon Ridge Cir
Weston, FL 33331-5015

Authorized official

Mercy Daniel Thomas
Arnp
9543891758

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