Individual
ANGELA VACHARAKIAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1150 N 35TH AVE STE 575, HOLLYWOOD, FL 33021-5469
(954) 265-3437
(954) 983-5052
Mailing address
2900 CORPORATE WAY, DOOR D, MIRAMAR, FL 33025-3925
(954) 276-5685
(954) 985-7074
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
9224495
FL
Other
Enumeration date
01/03/2018
Last updated
01/22/2018
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