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Individual

LAURIE KUPERSMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN, PMHNP-BC

Contact information

Practice address
14201 W SUNRISE BLVD STE 208, SUNRISE, FL 33323-3207
(954) 851-9690
(954) 851-9688
Mailing address
14201 W SUNRISE BLVD STE 208, SUNRISE, FL 33323-3207
(954) 851-9690
(954) 851-9688

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
9217834
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN9217834
FL

Other

Enumeration date
01/08/2013
Last updated
04/03/2019
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