Individual
ANGIE MAYORQUIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
801 S UNIVERSITY DR STE C136, PLANTATION, FL 33324-3366
(954) 205-4139
Mailing address
18112 SW 148TH RD, MIAMI, FL 33187-1856
(954) 205-4139
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11001986
FL
Other
Enumeration date
05/18/2019
Last updated
04/15/2022
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