Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | APRN9338844 | FL |
NPI | 1003326281 |
---|---|
Provider Name | Fiorella Jahaira Saka |
First Address | Miramar, FL 33025-3925 |
Second Address | Hollywood, FL 33021-2118 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/10/2017 |
Last Update Date | 12/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
022936000 | (05) | FL |