JACQUELINE TERRA-GONCALVES
NPI 1174984520
Nurse Practitioner - Family in Pembroke Pines, FL
Active since March 13, 2016
About Jacqueline Terra-goncalves NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACQUELINE TERRA-GONCALVES (NPI 1174984520) is an individual family provider in Pembroke Pines, Florida, licensed in Florida (ARNP9356655) and active in the NPI registry since March 2016.
NPPES Registry Identity
NPI1174984520
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJACQUELINE TERRA-GONCALVES
Location Address222 S FLAMINGO RDPembroke Pines, FL 33027-1721
Mailing Address20905 Boca Ridge Dr SBoca Raton, FL 33428-1509 · (781) 420-3314
Phone(954) 442-0029
Sole ProprietorNo
Enumeration DateMarch 13, 2016
✔ NPI 1174984520 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · ARNP9356655
Also ListedNurse PractitionerTaxonomy 363L00000X · License ARNP9356655 (FL)
222 S FLAMINGO RD, Pembroke Pines, FL 33027
Other Names 1
Former Name (1)Jacqueline Terra Arnp
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Family Medicine
222 S FLAMINGO RD
PEMBROKE PINES, FL 33027
PEMBROKE PINES, FL 33027
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174984520, enumerated as an "individual" on March 13, 2016.
The provider is located at 222 S FLAMINGO RD PEMBROKE PINES, FL 33027 and the phone number is (954) 442-0029.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
