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Individual

ANIDE TELFORT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2150 NW 91ST TER, PEMBROKE PINES, FL 33024-3248
(786) 512-4095
Mailing address
2150 NW 91ST TER, PEMBROKE PINES, FL 33024-3248
(786) 512-4095

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11017715
FL

Other

Enumeration date
01/25/2022
Last updated
01/25/2022
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