Healthcare Provider Details

I. General information

NPI: 1780650671
Provider Name (Legal Business Name): JOSEFINA PATRICIA MUNAJJ ARNPCNM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JOSEFINA PATRICIA ALRAHMAN NURSE PRACTITIONER

II. Dates (important events)

Enumeration Date: 02/28/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3939 HOLLYWOOD BLVD SUITE 3B
HOLLYWOOD FL
33021-6749
US

IV. Provider business mailing address

3416 BAHAMA DR
MIRAMAR FL
33023-5923
US

V. Phone/Fax

Practice location:
  • Phone: 954-237-6409
  • Fax: 954-272-6012
Mailing address:
  • Phone: 954-962-7446
  • Fax: 954-272-6012

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberARNP 2589502
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: