Individual
ELCIE ALTIDOR FLEURANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4026 NW 38TH AVE, LAUDERDALE LAKES, FL 33309-4813
(954) 696-3742
Mailing address
1558 POLYNESIAN LN, SEBASTIAN, FL 32958-6536
(954) 696-3742
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9256028
FL
Other
Enumeration date
10/02/2016
Last updated
10/02/2016
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