Individual
MRS. CODY RENE AVERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
901 45TH ST, MANGONIA PARK, FL 33407-2413
(561) 881-6400
Mailing address
4052 SW 3RD ST, PLANTATION, FL 33317-3725
(954) 401-5745
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
APRN11037281
FL
Other
Enumeration date
01/15/2025
Last updated
01/19/2025
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