Individual
CORIE OPDYKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
9120A WILES RD, CORAL SPRINGS, FL 33067-1993
(954) 341-0074
(954) 345-3474
Mailing address
900 S PINE ISLAND RD, STE 800, PLANTATION, FL 33324-3920
(954) 341-0074
(954) 345-3474
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN3075092
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
303573500
—
FL
Enumeration date
10/14/2005
Last updated
11/06/2018
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