Doctor Name: | RALITZA GEORGIEVA |
NPI Number: | 1003212762 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | ARNP 9292120 |
Business Practice Address: | 7420 Nw 5th St Suite 103 Plantation, FL - 333171611 |
Business Phone Number: | 9544744704 |
Business Fax Number: | 9545878686 |
Mailing Address: | 7420 Nw 5th St, Suite 103 PLANTATION |
State: | FL |
Postal Code: | 333171611 |
Phone Number: | 9544744704 |
Fax Number: | 9545878686 |
NPI Enumeration Date: | 11/07/2014 |
NPI Last Update Date: | 11/07/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LC0200X |
License Number: | ARNP 9292120 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Critical Care Medicine |
Taxonomy Definition: |