Individual
JODY-ANN DALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
400 N HIATUS RD STE 105, PEMBROKE PINES, FL 33026-5214
(954) 431-8000
(954) 436-0449
Mailing address
900 S PINE ISLAND RD STE 800, PLANTATION, FL 33324-3923
(954) 431-8000
(954) 436-0449
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN9242103
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020127400
—
FL
Enumeration date
02/24/2017
Last updated
02/13/2019
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