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Individual

MRS. MARTHA LORENA OBANDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, APRN, FNC-BC

Contact information

Practice address
16324 SW 15TH ST, PEMBROKE PINES, FL 33027-5126
(786) 441-4736
Mailing address
PO BOX 668035, MIAMI, FL 33166-9409
(786) 441-4736

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
RN9363418
FL
363LP2300X
Primary Care Nurse Practitioner
Primary
APRN11005118
FL

Other

Enumeration date
11/14/2019
Last updated
11/18/2019
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