Organization
FIRST ASSISTANT, PRN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WANDA KEYES RNFA (REGESTERED NURSE FIRST ASSISTANT)
(954) 474-6755
Entity
Organization
Contact information
Practice address
12001 NW 5TH CT, PLANTATION, FL 33325-1817
(954) 474-6755
(954) 916-6449
Mailing address
12001 NW 5TH CT, PLANTATION, FL 33325-1817
(954) 474-6755
(954) 916-6449
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
RN3409512
FL
Other
Enumeration date
08/21/2007
Last updated
08/21/2007
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