Individual
BONNIE SMERYAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1131 N 35TH AVE STE 210, HOLLYWOOD, FL 33021-5403
(954) 265-9344
(954) 265-9343
Mailing address
2900 CORPORATE WAY, MPG DOOR D, MIRAMAR, FL 33025-3925
(954) 276-5685
(954) 985-7074
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP 9221339
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012483900
—
FL
Enumeration date
07/15/2014
Last updated
03/17/2021
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