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Renise Frederic
Family Nurse Practitioner in Miramar, Florida
NPI 1679170427

Renise Frederic is a Family Nurse Practitioner based in Miramar, FL and is specialized in Family. Renise Frederic practices in Miramar, FL. The NPI Number for Renise Frederic is 1679170427 and holds a License No. APRN11009118 (Florida).

The current practice location address for Renise Frederic is 11750 Canal St Unit 220, Miramar, FL and can be reached out via phone at 850-504-9277.

Location: 11750 Canal St Unit 220, Miramar, FL, 33025-7947
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679170427
Provider Name
Renise Frederic
Credential
Provider Entity Type
Individual
Gender
Female
Address
11750 Canal St Unit 220, Miramar, FL, 33025-7947
Phone Number
850-504-9277
Fax Number
Provider Enumeration Date
10/05/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11750 Canal St Unit 220
City
Miramar
State
Florida
Zip
33025-7947
Phone Number
850-504-9277
Fax Number
person
Provider Business Mailing Address Details
Address
11750 Canal St Unit 220
City
Miramar
State
Florida
Zip
33025-7947
Phone Number
850-504-9277
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
APRN11009118 (Florida)
Definition
Definition to come...
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