Individual
LAURY FLORESTAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12224 ROYAL PALM BLVD, CORAL SPRINGS, FL 33065-3276
(954) 709-6764
Mailing address
12224 ROYAL PALM BLVD, CORAL SPRINGS, FL 33065-3276
(954) 709-6764
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
16-606
FL
Other
Enumeration date
09/27/2016
Last updated
09/27/2016
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