Organization · Type 2 NPI

The Diabetic Place LLC

Family Nurse Practitioner · Pembroke Pines, FL

NPI number 1104022169 Active

Practice location

10472 Taft St
Pembroke Pines, FL 33026-2819

Call (954) 990-0461 Map

Fax (954) 990-0465

Mailing address

PO Box 848182
Hollywood, FL 33084-0182

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X1956772 (FL)

Family Nurse Practitioner: Definition to come...

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About NPI 1104022169

The Diabetic Place LLC's National Provider Identifier is 1104022169, issued on Jun 26, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Pembroke Pines, FL. The record was last updated on Mar 30, 2015.