Individual
MS. ANITA KOMNINAKIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16595 NW 18TH ST, PEMBROKE PINES, FL 33028-1732
(954) 383-6011
Mailing address
16595 NW 18TH ST, PEMBROKE PINES, FL 33028-1732
(954) 383-6011
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2022096472
FL
Other
Enumeration date
04/24/2023
Last updated
04/24/2023
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