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NPI Code Detail

MEDICARE: GRISEL VALLADARES TRETO ARNP

MEDICARE:   GRISEL VALLADARES TRETO  ARNP
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
1363LA2200XAdult Health Nurse Practitioner9271615FL

General Provider Information

NPI Number : 1508373556
Entity Type Code : Individual
Provider Name (Legal Business Name) : GRISEL VALLADARES TRETO ARNP
Provider Business Mailing Address
First Line : 2900 CORPORATE WAY # D
Second Line :
City : MIRAMAR
State : FL
Zip : 33025-3925
Country : US
Telephone Number : 954-276-5685
Fax Number : 954-985-7074
Provider Business Practice Location Address
First Line : 300 S PARK RD STE 400
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33021-8353
Country : US
Telephone Number : 954-865-7450
Fax Number : 954-265-7459
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/29/2017
Last Update Date : 12/23/2025

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1689989683 — JESSICA L CO MSN, APRN, RN
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1962499376 — MARK S DORFMAN M.D.
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1134116551 — MR. GUY ANGELLA M.D.
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1033106455 — SCOTT C CARDONE M.D.
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Directions to “ GRISEL VALLADARES TRETO ARNP” Practice Location

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