Most Relevant Information
Provider Data
| NPI Number: | 1003211707 |
| Provider Name: | THAMARRE PAULINO NURSE PRACTITIONER |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 9204367 |
Most Important Dates
| Enumeration Date: | 10/24/2014 |
| Last Updated: | 01/12/2023 |
Provider Practice Location
131 SW 117 AVENUE
APT#307
PEMBROKE PINES
FL
330254917
Practice Location Phone/Fax
| Phone: | 9546245319 |
| Fax: |
Provider Mailing Location
440 E SAMPLE RD STE 109
POMPANO BEACH
FL
330644432
Provider Mailing Phone/Fax
| Phone: | 9549414530 |
| Fax: |