Individual
JOSE ANDRO CANCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN-APRN-PMHNP-BC
Contact information
Practice address
12550 BISCAYNE BLVD STE 507, NORTH MIAMI, FL 33181-2544
(305) 204-1209
(305) 402-0959
Mailing address
20733 NW 1ST ST, PEMBROKE PINES, FL 33029-3514
(305) 204-1209
(305) 402-0959
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
363LF0000X
Family Nurse Practitioner
APRN11006259
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11006259
FL
Other
Enumeration date
02/29/2020
Last updated
04/04/2024
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