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Individual

MS. SIMONE MARIA BURGOS-JUTERAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
10794 PINES BLVD, BOULEVARD PROFFESSIONAL CENTRE, PEMBROKE PINES, FL 33026-3920
(954) 704-4988
Mailing address
1101 NW 155TH TER, PEMBROKE PINES, FL 33028-1581
(954) 292-3525

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP2614312
FL

Other

Enumeration date
02/03/2012
Last updated
02/03/2012
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