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Individual

MERLANDE FRAGELUS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
770 NE 86TH ST, MIAMI, FL 33138-3626
(305) 757-8170
Mailing address
2888 SW 83RD AVE, MIRAMAR, FL 33025-7409

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
11000164
FL

Other

Enumeration date
08/22/2022
Last updated
08/22/2022
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