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1679170427
RENISE FREDERIC
MIRAMAR, FL
NPI
1679170427
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL APRN11009118)
Enumeration Date
2020-10-05
Last Update Date
2020-10-21
Business Address
RENISE FREDERIC
11750 CANAL ST UNIT 220
MIRAMAR, FL 33025-7947
Phone number: 850-504-9277
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Mailing Address
RENISE FREDERIC
11750 CANAL ST UNIT 220
MIRAMAR, FL 33025-7947
Phone number: 850-504-9277
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