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KOCHUTHRESIA R. THARAKAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
3476 S UNIVERSITY DRIVE, NICU - 3RD FLOOR, DAVIE, FL 33328
(954) 475-5740
Mailing address
3476 S UNIVERSITY DRIVE, NICU - 3RD FLOOR, DAVIE, FL 33328

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2871732
FL
2080N0001X
Neonatal-Perinatal Medicine Physician
APRN2871732
FL
363LN0000X
Neonatal Nurse Practitioner
Primary
APRN2871732
FL

Other

Enumeration date
03/27/2006
Last updated
08/13/2025
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