is a Family in Orlando, Florida. practices all healthcare services and medical treatments related to Family. The NPI Number for is 1558570002. The last update date is .
's current location address is 77 W Underwood St, Orlando, Florida. You can contact this provider via phone number 4076496884 and fax number 4072457059. The mailing address for is 77 W Underwood St, Orlando, Florida. To know further, please read the information below!
Provider Profile Detail
Provider Name | |
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Address | 77 W Underwood St, Orlando, Florida |
Phone Number | 4076496884 |
Fax Number | 4072457059 |
Sole Proprietor | -- |
Credentials | -- |
NPI Number Detail
NPI Number | 1558570002 |
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Provider Enumeration Date | |
Last Updated Date |
Provider Mailing Address Detail
Address | 77 W Underwood St |
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City | Orlando |
State | Florida (FL) |
Post Code | 328061122 |
Phone Number | 4076496884 |
Fax Number | 4072457059 |
Provider's Primary Taxonomy Detail
Speciality | Family |
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Taxonomy | 363Lf0000X |
Licence No | ARNP 2060532 |
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
ARNP2060532 | FL | MEDICAL LICENSE | |
1246200 | FL | -- |
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