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Organization
RHEMA FAMILY PRACTICE
Active
Organization
RHEMA FAMILY PRACTICE
Active
Other names
Self
Organization subpart
No
Provider details
NPI number
Authorized official
BEENA K BIJOY NURSE PRACTITIONER (ARNP., FNP BC)
(754) 246-8414
Entity
Organization
Contact information
Practice address
10305 NW 6TH ST, PLANTATION, FL 33324-1617
(754) 246-8414
Mailing address
10305 NW6TH STREET,PLANTATION.FL-33324, PLANTATION, FL 33324
(754) 246-8414
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L20000349808
NON INSURER
FL
05
—
L20000349808
—
FL
Enumeration date
12/01/2020
Last updated
12/01/2020
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