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MR. RONALD D PHILOGENE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
APRN

Contact information

Practice address
701 OLD DIXIE HWY, JUPITER, FL 33469-2493
(561) 356-8856
Mailing address
701 OLD DIXIE HWY, TEQUESTA, FL 33469-2493
(561) 356-8856

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11012516
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
APRN11012516
FLORIDA STATE BOARD OF NURSING
FL
Enumeration date
04/06/2021
Last updated
04/07/2024
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