Individual
MR. OSVALDO BERMUDEZ RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8013 NW 104TH AVE, TAMARAC, FL 33321-1135
(954) 591-9380
Mailing address
8013 NW 104TH AVE, TAMARAC, FL 33321-1135
(954) 591-9380
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
9275138
FL
Other
Enumeration date
12/27/2011
Last updated
12/27/2011
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