Florida Medical and Diagnostic Center
NPI #1942860093 in Fort Lauderdale, Florida
Provider Information
- NPI Number
- 1942860093
- Entity Type
- Organization
- Organization Name
- Florida Medical and Diagnostic Center
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Jun 19, 2019
- Last Updated
- Jun 19, 2019
Practice Location
- Address
- 3020 NE 32ND AVE STE 305
- City
- Fort Lauderdale
- State
- Florida
- ZIP Code
- 33308-7204
- Phone
- (954) 302-3048
Authorized Official
- Name
- MRS. BOGOMOLOVA YULIA
- Title
- MEDICAL DIRECTOR
- Phone
- (954) 302-3048
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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