Individual
BRIANNA TAYLOR FORMOSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1368 NW 34TH WAY, FORT LAUDERDALE, FL 33311-8349
(305) 987-3020
Mailing address
1368 NW 34TH WAY, FORT LAUDERDALE, FL 33311-8349
(305) 987-3020
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11033917
FL
Other
Enumeration date
07/10/2024
Last updated
07/10/2024
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