Organization
PRIMARY AND TRANSITIONAL CARE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENOL CICERON FNP (APRN)
(561) 537-9028
Entity
Organization
Contact information
Practice address
1501 11TH ST, WEST PALM BEACH, FL 33401-3038
(561) 537-9028
Mailing address
1501 11TH ST, WEST PALM BEACH, FL 33401-3038
(561) 537-9028
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/04/2021
Last updated
08/04/2021
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