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NPI Code Detail

MEDICARE: MRS. MATILDA FRANCISCA MAICAS JAROCKI APRN

MEDICARE: MRS. MATILDA FRANCISCA MAICAS JAROCKI APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0200XPediatric Nurse PractitionerAPRN1432832FL
2363LF0000XFamily Nurse PractitionerAPRN1432832FL
3363L00000XNurse PractitionerAPRN1432832FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1457346900
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MATILDA FRANCISCA MAICAS JAROCKI APRN
Provider Business Mailing Address
First Line : 900 S PINE ISLAND RD STE 800
Second Line :
City : PLANTATION
State : FL
Zip : 33324-3923
Country : US
Telephone Number : 954-424-7000
Fax Number : 954-424-6003
Provider Business Practice Location Address
First Line : 9611 W BROWARD BLVD
Second Line :
City : PLANTATION
State : FL
Zip : 33324-2334
Country : US
Telephone Number : 954-424-7000
Fax Number : 954-424-6003
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2005
Last Update Date : 09/30/2025

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Directions to “ MRS. MATILDA FRANCISCA MAICAS JAROCKI APRN” Practice Location

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