MEDICARE: JANNELLE M RIGUEZ 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
1	363LA2200X	Adult Health Nurse Practitioner	RN2681452	FL

General Provider Information

NPI Number	:	1467544270
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANNELLE M RIGUEZ ARNP

Provider Business Mailing Address
First Line	:	4770 BISCAYNE BLVD
Second Line	:	SUITE 780
City	:	MIAMI
State	:	FL
Zip	:	33137-3202
Country	:	US
Telephone Number	:	786-268-8289
Fax Number	:	786-268-4561

Provider Business Practice Location Address
First Line	:	4770 BISCAYNE BLVD
Second Line	:	SUITE 780
City	:	MIAMI
State	:	FL
Zip	:	33137-3202
Country	:	US
Telephone Number	:	786-268-8289
Fax Number	:	786-268-4561

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/29/2006
Last Update Date	:	02/23/2010

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