NPI 1063656155

Convenient Practitioner Services PA

Organisation Family Medicine Physician Davie, FL

Practice location

Address: 10641 SW 37th Pl, Davie, FL 33328-1310
Phone: (954) 861-7522
Fax: (954) 916-9436

Authorised official

Name: Igdalis Roldan Christen
Title: President
Phone: (954) 861-7522

Registered specialties (2)

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence ARNP1737192 (FL)

Other Family Medicine providers in Florida →

Family Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence ARNP1737192 (FL)

Other Nurse Practitioner providers in Florida →

Registry record

NPI: 1063656155
Entity type: Organization
NPI issued: 21 Apr 2009
Record last updated: 21 Apr 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.