Registry details
Type
Organization
Primary specialty
Nurse Practitioner, Psych/Mental Health
Enumerated
Aug 26, 2020
License(s)
—
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 5113 SR 674 STE 107 | Wimauma, FL 33598-3520 | 813-714-7397 |
| MAILING | 10605 STANDING STONE DR | Wimauma, FL 33598-6172 | 813-714-7397 |
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