Individual
MRS. REGINE JOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
901 S STATE ROAD 7, PLANTATION, FL 33317-4522
(954) 797-2900
(954) 792-4601
Mailing address
17417 SW 36TH ST, MIRAMAR, FL 33029-1618
(954) 980-4127
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA 9104857
FL
Other
Enumeration date
03/27/2009
Last updated
03/27/2009
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