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NPI Code Detail

MEDICARE: SHEREE MUNDY ARNP

MEDICARE: SHEREE MUNDY 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
1363LP0200XPediatric Nurse PractitionerARNP9251125FL

General Provider Information

NPI Number : 1538564000
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHEREE MUNDY ARNP
Provider Business Mailing Address
First Line : 400 NE 4TH ST
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33301-1152
Country : US
Telephone Number : 954-357-7520
Fax Number :
Provider Business Practice Location Address
First Line : 400 NE 4TH ST
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33301-1152
Country : US
Telephone Number : 954-357-7520
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2014
Last Update Date : 10/27/2014

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