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Individual

JANET REVILLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
2300 N COMMERCE PKWY STE 103, WESTON, FL 33326-3255
(954) 217-5700
(954) 217-5704
Mailing address
1700 NW 49TH ST STE 125, FORT LAUDERDALE, FL 33309-3750
(954) 217-5700
(954) 217-5704

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP2811312
FL

Other

Enumeration date
06/01/2012
Last updated
10/30/2019
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