Most Relevant Information
Provider Data
| NPI Number: | 1003212762 |
| Provider Name: | RALITZA GEORGIEVA |
| Entity Type: | Individual |
| Taxonomy Code: | 363LC0200X |
| Specialty: | Nurse Practitioner |
| License Number: | ARNP 9292120 |
Most Important Dates
| Enumeration Date: | 11/07/2014 |
| Last Updated: | 11/07/2014 |
Provider Practice Location
7420 NW 5TH ST
SUITE 103
PLANTATION
FL
333171611
Practice Location Phone/Fax
| Phone: | 9544744704 |
| Fax: | 9545878686 |
Provider Mailing Location
7420 NW 5TH ST
SUITE 103
PLANTATION
FL
333171611
Provider Mailing Phone/Fax
| Phone: | 9544744704 |
| Fax: | 9545878686 |