Individual
MRS. CONCEPCION FORNARIS CABALLERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
6351 ADAMS ST, HOLLYWOOD, FL 33023-1749
(954) 638-6924
Mailing address
6351 ADAMS ST, HOLLYWOOD, FL 33023-1749
(954) 638-6924
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
11002534
FL
363LG0600X
Gerontology Nurse Practitioner
11002534
FL
363LP2300X
Primary Care Nurse Practitioner
Primary
11002534
FL
Other
Enumeration date
05/31/2019
Last updated
05/31/2019
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