Individual
ELIZABETH JOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1810 NW 125TH TER, PEMBROKE PINES, FL 33028-2551
(954) 629-3116
Mailing address
1810, NW, 125 TERRACE, PEMBROKE PINES, FL 33028
(954) 629-3116
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9260798
FL
Other
Enumeration date
07/24/2018
Last updated
07/24/2018
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