Individual
TRINA JOHNSON PETTIFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8642 NW 55TH PL, CORAL SPRINGS, FL 33067-2808
(954) 638-7096
Mailing address
8642 NW 55TH PL, CORAL SPRINGS, FL 33067-2808
(954) 638-7096
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
9244404
FL
Other
Enumeration date
11/06/2025
Last updated
11/06/2025
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