Provider Demographics
NPI:1407376148
Name:SCHLOSSBERG, JUDITH HOPE (FNP)
Entity Type:Individual
Prefix:
First Name:JUDITH
Middle Name:HOPE
Last Name:SCHLOSSBERG
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:JUDITH
Other - Middle Name:HOPE
Other - Last Name:KAUFMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:220 E DILIDO DR
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33139-1230
Mailing Address - Country:US
Mailing Address - Phone:850-687-3701
Mailing Address - Fax:
Practice Address - Street 1:220 E DILIDO DR
Practice Address - Street 2:
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33139-1230
Practice Address - Country:US
Practice Address - Phone:850-687-3701
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-23
Last Update Date:2023-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9335997363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily