Individual
MRS. LYNETTE M WEITMAN NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
160 S FLAMINGO RD, PEMBROKE PINES, FL 33027-1720
(954) 620-0011
(954) 620-0238
Mailing address
160 S FLAMINGO RD, PEMBROKE PINES, FL 33027-1720
(954) 620-0011
(954) 620-0238
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9102949
FL
Other
Enumeration date
05/22/2007
Last updated
01/24/2024
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