MRS. CONCEPCION FORNARIS CABALLERO


Address: 6351 Adams St, Hollywood, FL 33023-1749
Phone: 9546386924

MRS. CONCEPCION FORNARIS CABALLERO (NPI# 1922666312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922666312
Entity Type Individual
Full Name MRS. CONCEPCION FORNARIS CABALLERO
Credential APRN
Practice Address 6351 Adams St
Hollywood
FL 33023-1749
Practice Telephone 9546386924
Mailing Telephone 9546386924
Enumeration Date 2019-05-31
Last Update Date 2019-05-31
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LA2200X Nurse Practitioner
Specialization: Adult Health
11002534 FL Physician Assistants & Advanced Practice Nursing Providers
N 363LG0600X Nurse Practitioner
Specialization: Gerontology
11002534 FL Physician Assistants & Advanced Practice Nursing Providers
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
11002534 FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 6351 ADAMS ST
City HOLLYWOOD
State FL
Zip Code 33023-1749

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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

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1730424763 Bright Medcare LLC Nurse Practitioner 2544 N State Road 7, Hollywood, FL 33021-3205 2012-12-03

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Competitor

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City HOLLYWOOD
Zip Code 33023

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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