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Individual

AMY CHERYL KROSTICH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CPNP

Contact information

Practice address
5300 W HILLSBORO BLVD., SUITE 110, COCONUT CREEK, FL 33073
(954) 794-1360
(954) 794-1367
Mailing address
5300 W HILLSBORO BLVD., SUITE 110, COCONUT CREEK, FL 33073
(954) 794-1360
(954) 794-1367

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP9294385
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
018427000
FL
Enumeration date
10/23/2009
Last updated
12/14/2016
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