Individual
DR. CHULOU HITOSIS PENALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13001 SOUTHERN BLVD, LOXAHATCHEE, FL 33470-9203
(877) 832-2652
(800) 792-9021
Mailing address
5476 QUEENSHIP CT, GREENACRES, FL 33463-5969
(719) 406-2133
(561) 450-6716
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN 9295519
FL
207R00000X
Internal Medicine Physician
Primary
ME163843
FL
363LA2100X
Acute Care Nurse Practitioner
ARNP 9295519
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/07/2012
Last updated
09/27/2023
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