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Individual

MS. EBONEE MONIQUE BLACKWOOD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NURSE PRACTITIONER

Contact information

Practice address
11301 OKEECHOBEE BLVD, ROYAL PALM BEACH, FL 33411-8719
(561) 283-0384
Mailing address
11301 OKEECHOBEE BLVD STE 5A, ROYAL PALM BEACH, FL 33411-8719
(561) 729-5877

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9221157
FL
363LF0000X
Family Nurse Practitioner
ARNP9221157
FL

Other

Enumeration date
05/14/2017
Last updated
05/27/2022
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