Individual
MEDGINE COLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9311 NW 32ND MNR, SUNRISE, FL 33351-7110
(954) 249-4030
Mailing address
9311 NW 32ND MNR, SUNRISE, FL 33351-7110
(954) 249-4030
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11032550
FL
Other
Enumeration date
06/12/2024
Last updated
06/12/2024
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