Individual
SANDRA LISSA DIBELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3907 S JOG RD, GREENACRES, FL 33467-1590
(561) 432-3455
(561) 432-8755
Mailing address
3907 S JOG RD, GREENACRES, FL 33467-1590
(862) 200-1343
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP9456314
FL
Other
Enumeration date
02/15/2016
Last updated
01/15/2018
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