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Individual

MRS. JOHANNA M. FORERO-MOYLAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
3501 JOHNSON STREET, HOLLYWOOD, FL 33021
(954) 265-5339
(954) 265-3464
Mailing address
1613 HARRISON PKWY, SUITE 200, MAIL STOP SH-9A, SUNRISE, FL 33323-2896
(800) 437-2672
(954) 851-1746

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
9233693
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9233693
FL

Other

Enumeration date
01/16/2011
Last updated
03/27/2021
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