Individual
LISSETTE FAGUNDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
16258 NW 78TH PL, MIAMI LAKES, FL 33016-6178
(305) 308-4951
Mailing address
16258 NW 78TH PL, MIAMI LAKES, FL 33016-6178
(305) 308-4951
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
11031638
FL
Other
Enumeration date
03/20/2024
Last updated
03/20/2024
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