Individual
AUDLEY HAMILTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
986 NW 89TH AVE, PLANTATION, FL 33324-6172
(954) 404-3477
Mailing address
986 NW 89TH AVE, PLANTATION, FL 33324-6172
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
RN9482401
FL
Other
Enumeration date
12/25/2018
Last updated
12/25/2018
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