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Individual

JACINTHA A BRILLANTE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2301 N UNIVERSITY DRIVE, STE 107, PEMBROKE PINES, FL 33024
(954) 966-6000
(954) 966-3473
Mailing address
2301 N UNIVERSITY DRIVE, STE 107, PEMBROKE PINES, FL 33024
(954) 966-6000
(954) 966-3473

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME0048959
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
048771600
FL
Enumeration date
02/09/2006
Last updated
06/22/2012
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