Individual
AJOMOL KURISUNKAL JOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16194 NW 15TH ST, PEMBROKE PINES, FL 33028-1220
(954) 559-2601
Mailing address
16194 NW 15TH ST, PEMBROKE PINES, FL 33028-1220
(954) 559-2601
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN9225913
FL
Other
Enumeration date
12/11/2018
Last updated
12/11/2018
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