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Individual

CINDY SAYONARA DEREQUITO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
7369 SHERIDAN ST STE 101, HOLLYWOOD, FL 33024-2776
(954) 561-6222
(954) 990-7650
Mailing address
7261 SHERIDAN ST STE 340, HOLLYWOOD, FL 33024-2726
(954) 561-6222
(954) 990-7650

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11007565
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
107355300
FL
Enumeration date
06/24/2020
Last updated
06/26/2025
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