Individual provider · Type 1 NPI

Luis Manuel Vandama Brizuela, APRN

Family Nurse Practitioner · Pembroke Pines, FL

NPI number 1104449644 Active

Practice location

1500 S Hiatus Rd
Pembroke Pines, FL 33025-3617

Fax (786) 791-1270

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	APRN11007011 (FL)

Family Nurse Practitioner: Definition to come...

6 other providers at this address

Pasteur & Wellmax Medical Centers LLCGeriatric Medicine (Internal Medicine) Physician Pembroke Pines, FL NPI 1093535288
South Florida Vision Services, Inc.Optometrist Pembroke Pines, FL NPI 1932840394
Evaristo Manuel Garcia, APRNFamily Nurse Practitioner Pembroke Pines, FL NPI 1609401751
Gloria Maria Garzon Ferrer, MSN-DE, APRNFamily Nurse Practitioner Pembroke Pines, FL NPI 1982427969
Jorge Daniel Martinez Diaz, FNP-CFamily Nurse Practitioner Pembroke Pines, FL NPI 1164252268
Veronica Marie Carrero, ODOptometrist Pembroke Pines, FL NPI 1164688073

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About NPI 1104449644

Luis Manuel Vandama Brizuela, APRN's National Provider Identifier is 1104449644, issued on May 19, 2020. 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 May 12, 2025.