Individual
KARIAN SAMECH BLACKWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3501 JOHNSON ST, HOLLLYWOOD, FL 33021-5421
(954) 987-2000
Mailing address
640 SW 164TH AVE, PEMBROKE PINES, FL 33027-1086
(954) 325-0244
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
11002778
FL
Other
Enumeration date
12/20/2022
Last updated
12/20/2022
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