Individual
MANITHA LUBIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11756 SW 59TH CT, COOPER CITY, FL 33330-4158
(954) 260-1528
Mailing address
11756 SW 59TH CT, COOPER CITY, FL 33330-4158
(954) 260-1528
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9295616
FL
Other
Enumeration date
06/11/2021
Last updated
06/11/2021
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