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Individual

BINI RAICHEL THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, AGACNP-BC

Contact information

Practice address
6640 SW 57TH ST, DAVIE, FL 33314-7133
(954) 579-1625
Mailing address
6640 SW 57TH ST, DAVIE, FL 33314-7133
(954) 579-1625

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN11015410
FL
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN11015410
FL

Other

Enumeration date
10/01/2021
Last updated
10/01/2021
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