Individual
MR. WHIDLET NAISSANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
2788 SW 177TH AVE, MIRAMAR, FL 33029-5142
(561) 635-7938
Mailing address
2788 SW 177TH AVE, MIRAMAR, FL 33029-5142
(561) 635-7938
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
9537589
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
9357589
FL
363LF0000X
Family Nurse Practitioner
9357589
FL
Other
Enumeration date
01/12/2015
Last updated
02/21/2017
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