Individual
MRS. MARISSA HERNANDEZ SIBUCAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 585-6625
(305) 585-1991
Mailing address
1938 NW 74TH AVE, PEMBROKE PINES, FL 33024-1055
(954) 322-7926
(954) 322-7926
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
1182842
FL
Other
Enumeration date
08/10/2006
Last updated
07/08/2007
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