Individual
JACQUELINE MESIDOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7771 NW 13TH ST, PEMBROKE PINES, FL 33024-5200
(754) 422-4851
Mailing address
8403 PINES BLVD # 1380, PEMBROKE PINES, FL 33024-6609
(754) 422-4851
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN1902418
FL
Other
Enumeration date
11/13/2023
Last updated
11/13/2023
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