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Miguel A De La Rua, GERONTOLOGYAPRN
Gerontology Nurse Practitioner in Sunrise, Florida
NPI 1437700093

Miguel A De La Rua is a Gerontology Nurse Practitioner based in Sunrise, FL and is specialized in Gerontology. Miguel A De La Rua practices in Sunrise, FL and has the professional credentials of GERONTOLOGYAPRN. The NPI Number for Miguel A De La Rua is 1437700093 and holds a License No. APRN11004260 (Florida).

The current practice location address for Miguel A De La Rua is 2057 N University Dr, Sunrise, FL and can be reached out via phone at 954-983-9191 and via fax at 954-422-9538.

Location: 2057 N University Dr, Sunrise, FL, 33322-3936
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Provider Profile Details
NPI Number
1437700093
Provider Name
Miguel A De La Rua
Credential
GERONTOLOGYAPRN
Provider Entity Type
Individual
Gender
Male
Address
2057 N University Dr, Sunrise, FL, 33322-3936
Phone Number
954-983-9191
Fax Number
954-422-9538
Provider Enumeration Date
09/25/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
AG09190084 01 FL AANPCB CERTIFICATION NUMBER FLORIDA BOARD OF NURSING
L0456 01 FL MEDICARE
institution
Provider Business Practice Location Address Details
Address
2057 N University Dr
City
State
Zip
33322-3936
Phone Number
954-983-9191
Fax Number
954-422-9538
person
Provider Business Mailing Address Details
Address
2057 N University Dr
City
State
Zip
33322-3936
Phone Number
954-983-9191
Fax Number
954-422-9538
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
APRN11004260 (Florida)
Definition
Definition to come...
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