Individual provider · Type 1 NPI
Sussel Vega Pupo
Family Nurse Practitioner · Coral Springs, FL
NPI number
1376137166
Active
Practice location
5441 N University Dr Ste 101
Coral Springs, FL 33067-4640
Fax (954) 933-2305
Mailing address
7898 NW 171st St
Hialeah, FL 33015-3842
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | F01211301 (FL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1376137166
Sussel Vega Pupo's National Provider Identifier is 1376137166, issued on Feb 23, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Coral Springs, FL. The record was last updated on Jul 19, 2022.