Individual
MRS. ALBA LUCIA CEBALLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2488 N UNIVERSITY DR, PEMBROKE PINES, FL 33024-3624
(954) 983-9191
Mailing address
2488 N UNIVERSITY DR, PEMBROKE PINES, FL 33024-3624
(954) 983-9191
(954) 983-1152
Taxonomy
Speciality
Code
Description
License number
State
207QA0000X
Adolescent Medicine (Family Medicine) Physician
APRN11000490
FL
207QA0505X
Adult Medicine Physician
11000490
FL
363LF0000X
Family Nurse Practitioner
Primary
APRN11000490
FL
Other
Enumeration date
12/07/2018
Last updated
03/24/2020
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