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Sanny Vasallo
Family Nurse Practitioner in Miramar, Florida
NPI 1548807696

Sanny Vasallo is a Family Nurse Practitioner based in Miramar, FL and is specialized in Family. Sanny Vasallo practices in Miramar, FL. The NPI Number for Sanny Vasallo is 1548807696 and holds a License No. F09190722 (Florida).

The current practice location address for Sanny Vasallo is 4451 Sw 143Rd Ave, Miramar, FL and can be reached out via phone at 786-769-4498.

Location: 4451 Sw 143Rd Ave, Miramar, FL, 33027-3055
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548807696
Provider Name
Sanny Vasallo
Credential
Provider Entity Type
Individual
Gender
Female
Address
4451 Sw 143Rd Ave, Miramar, FL, 33027-3055
Phone Number
786-769-4498
Fax Number
Provider Enumeration Date
12/09/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4451 Sw 143Rd Ave
City
Miramar
State
Florida
Zip
33027-3055
Phone Number
786-769-4498
Fax Number
person
Provider Business Mailing Address Details
Address
4451 Sw 143Rd Ave
City
Miramar
State
Florida
Zip
33027-3055
Phone Number
786-769-4498
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
F09190722 (Florida)
Definition
Definition to come...
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