Individual
MRS. ANITHA S ITTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
703 N FLAMINGO RD, PEMBROKE PINES, FL 33028-1006
(954) 844-5600
Mailing address
13067 NW 14TH ST, PEMBROKE PINES, FL 33028-2720
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
9368687
FL
Other
Enumeration date
03/13/2022
Last updated
03/13/2022
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