Facts
- Status
- A
- Credential
- APRN, BC
- Type
- Individual
- Enumeration date
- 2007-12-03
- Last updated
- 2025-06-16
Specialties
Licenses
- License FL
- 9471558
Location
- Practice location
- 260 S US HIGHWAY 1
- City
- TEQUESTA FL
- Postal code
- 334692702
- Phone
- 866-389-2727
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
The OIG NPI list is not in this build yet. Confirm on OIG's search.
Nearby
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Removal request
Public data from NPPES and CMS. Not a credentialing determination.