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Individual

JACQUELINE CEREIJO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
1150 N 35TH AVE STE 170, HOLLYWOOD, FL 33021-5424
(954) 265-4325
(954) 985-2451
Mailing address
2900 CORPORATE WAY, DOOR D, MIRAMAR, FL 33025-3925
(954) 276-5685
(954) 985-7081

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN9175902
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
015195400
FL
Enumeration date
03/31/2015
Last updated
03/22/2021
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