Registry details
Type
Individual
Primary specialty
Nurse Practitioner, Acute Care
Enumerated
Dec 20, 2023
License(s)
669494 (FL), 669494 (FL), 669494 (FL), 669494 (FL)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 4012 N SEMINOLE AVE | Tampa, FL 33603-3844 | 813-466-2621 |
| MAILING | 4012 N SEMINOLE AVE | Tampa, FL 33603-3844 | 813-466-2621 |
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