Individual
MRS. BIANCA RAQUEL BUTO LEDWIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, DNP
Contact information
Practice address
410 SE 16TH CT APT 301, FORT LAUDERDALE, FL 33316-2553
(954) 397-1186
Mailing address
7920 SEQUOIA LN, PARKLAND, FL 33067-2388
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11014144
FL
Other
Enumeration date
07/08/2021
Last updated
08/22/2024
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