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Organization

FLORIDA PRACTITIONERS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRANDI L HOLMES (CREDENTIALING SPECIALIST)
(386) 882-8736
Entity
Organization

Contact information

Practice address
1995 E OAKLAND PARK BLVD STE 310, FORT LAUDERDALE, FL 33306-1138
(866) 996-8011
Mailing address
1995 E OAKLAND PARK BLVD STE 310, FORT LAUDERDALE, FL 33306-1138
(866) 996-8011

Taxonomy

Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary

Other

Enumeration date
06/23/2020
Last updated
06/23/2020
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