is a Nurse Practitioner in Tampa, Florida. practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for is 1881851673. The last update date is .
's current location address is 3402 W Dr Martin Luther King Jr Blvd, Tampa, Florida. You can contact this provider via phone number 8138753950 and fax number 8138760432. The mailing address for is 3402 W Dr Martin Luther King Jr Blvd, Tampa, Florida. To know further, please read the information below!
Provider Profile Detail
Provider Name | |
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Address | 3402 W Dr Martin Luther King Jr Blvd, Tampa, Florida |
Phone Number | 8138753950 |
Fax Number | 8138760432 |
Sole Proprietor | -- |
Credentials | -- |
NPI Number Detail
NPI Number | 1881851673 |
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Provider Enumeration Date | |
Last Updated Date |
Provider Mailing Address Detail
Address | 3402 W Dr Martin Luther King Jr Blvd |
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City | Tampa |
State | Florida (FL) |
Post Code | 336076214 |
Phone Number | 8138753950 |
Fax Number | 8138760432 |
Provider's Primary Taxonomy Detail
Speciality | Nurse Practitioner |
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Taxonomy | 363L00000X |
Licence No | ARNP9221139 |
Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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8131100 | FL | -- |
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