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Individual
PAULA SURYANI WIBOWO
Active
Individual
PAULA SURYANI WIBOWO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN11006209
FL
363LF0000X
Family Nurse Practitioner
11006209
FL
Other
Enumeration date
02/18/2020
Last updated
09/15/2026
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