Organization
CONVENIENT PRACTITIONER SERVICES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. IGDALIS ROLDAN CHRISTEN ARNP (PRESIDENT)
(954) 861-7522
Entity
Organization
Contact information
Practice address
10641 SW 37TH PL, DAVIE, FL 33328-1310
(954) 861-7522
(954) 916-9436
Mailing address
10641 SW 37TH PL, DAVIE, FL 33328-1310
(954) 861-7522
(954) 916-9436
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ARNP1737192
FL
363LF0000X
Family Nurse Practitioner
ARNP1737192
FL
Other
Enumeration date
04/21/2009
Last updated
04/21/2009
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