Individual
MS. CLENETTE SURPRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP, FNP-BC
Contact information
Practice address
8403 PINES BLVD # 1324, PEMBROKE PINES, FL 33024-6609
(954) 551-4400
Mailing address
8403 PINES BLVD # 1324, PEMBROKE PINES, FL 33024-6609
(954) 551-4400
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
APRN11019501
FL
363LF0000X
Family Nurse Practitioner
Primary
APRN11019501
FL
363LP2300X
Primary Care Nurse Practitioner
APRN11019501
FL
Other
Enumeration date
05/10/2022
Last updated
01/07/2025
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