Individual
MRS. SOLANGE MARIEL BAVUSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
180 SW 84TH AVE STE B, PLANTATION, FL 33324-2731
(844) 665-4827
Mailing address
180 SW 84TH AVE STE B, PLANTATION, FL 33324-2731
(844) 665-4827
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
ARNP 9234312
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP 9234312
FL
363LG0600X
Gerontology Nurse Practitioner
ARNP 9234312
FL
Other
Enumeration date
01/20/2017
Last updated
02/20/2017
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