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MS. MIYVETTESHAUNE MARQUISETTE GREEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
3020 SW 1ST STREET, FT LAUDERDALE, FL 33312
(954) 584-5811
Mailing address
3020 SW 1ST ST, FT LAUDERDALE, FL 33312-1268
(954) 584-5811

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
3314562
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
3314562
FL

Other

Enumeration date
05/09/2007
Last updated
01/26/2022
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