Organization
VENETIAN ISLE MEDICAL OB/GYN CONSULTANTS ,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LYNE RIVERA L.P.N. (OFFICE MANAGER)
(954) 456-4888
Entity
Organization
Contact information
Practice address
3001 W HALLANDALE BEACH BLVD, SUITE 200, HALLANDALE, FL 33009-5155
(954) 456-4888
(954) 456-9721
Mailing address
3001 W HALLANDALE BEACH BLVD, SUITE 200, HALLANDALE, FL 33009-5155
(954) 456-4888
(954) 456-9721
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
ARNP9409101
FL
Other
Enumeration date
07/02/2015
Last updated
07/02/2015
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