Individual
IVONN K MOSQUERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 MEADOWS RD, BOCA RATON, FL 33486-2304
(561) 955-4600
Mailing address
480 NE 35TH CT UNIT 3, OAKLAND PARK, FL 33334-2170
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11003713
FL
Other
Enumeration date
09/13/2019
Last updated
09/19/2019
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