institution
The Diabetic Place Llc
Family Nurse Practitioner in Pembroke Pines, Florida
NPI 1104022169

The Diabetic Place Llc is a Family Nurse Practitioner based in Hollywood, FL and is specialized in Family. The Diabetic Place Llc practices in Pembroke Pines, FL. The NPI Number for The Diabetic Place Llc is 1104022169 and holds a License No. 1956772 (Florida).

The current practice location address for The Diabetic Place Llc is 10472 Taft St, Pembroke Pines, FL and can be reached out via phone at 954-990-0461 and via fax at 954-990-0465. You can also correspond with The Diabetic Place Llc through the mailing address at PO BOX 848182, HOLLYWOOD, FL - 33084-0182 (mailing address contact number: 954-990-0461).

Location: 10472 Taft St, Pembroke Pines, FL, 33084-0182
institution
Provider Profile Details
NPI Number
1104022169
Provider Name
The Diabetic Place Llc
Credential
Provider Entity Type
Organization
Address
10472 Taft St, Pembroke Pines, FL, 33084-0182
Phone Number
954-990-0461
Fax Number
954-990-0465
Provider Enumeration Date
06/26/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
281108100 05 FL
institution
Provider Business Practice Location Address Details
Address
10472 Taft St
City
State
Zip
33026-2819
Phone Number
954-990-0461
Fax Number
954-990-0465
person
Provider Business Mailing Address Details
Address
10472 Taft St
City
State
Zip
33026-2819
Phone Number
954-990-0461
Fax Number
954-990-0465
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
1956772 (Florida)
Definition
Definition to come...
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