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Individual

BIJU ANTONY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN

Contact information

Practice address
4850 W OAKLAND PARK BLVD STE 202, LAUDERDALE LAKES, FL 33313-7260
(305) 924-7726
Mailing address
12941 NW 2ND ST APT 204, PEMBROKE PINES, FL 33028-2233
(305) 924-7726

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
F12200797
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11013174
FL

Other

Enumeration date
03/10/2021
Last updated
02/21/2025
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