Individual
STEPHANIA PARDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2787 E OAKLAND PARK BLVD STE 315, FORT LAUDERDALE, FL 33306-1632
(305) 674-2380
Mailing address
PO BOX 273122, BOCA RATON, FL 33427-3122
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9480760
FL
163WC0400X
Case Management Registered Nurse
RN9480760
FL
163WM0705X
Medical-Surgical Registered Nurse
RN9480760
FL
Other
Enumeration date
08/20/2018
Last updated
08/20/2018
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