Individual
MRS. ANNIE MILDRED CLAVON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
2323 NW 19TH ST, FORT LAUDERDALE, FL 33311-3400
(954) 484-9590
(954) 486-5690
Mailing address
2323 NW 19TH ST, FORT LAUDERDALE, FL 33311-3400
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1448002
FL
363LF0000X
Family Nurse Practitioner
Primary
1448002
FL
Other
Enumeration date
09/14/2006
Last updated
09/11/2025
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