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Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Pediatrics, Critical Care

Provider NPI: 1831528223

Provider Information:
Gender: F
Not Sole Proprietor

Practice Location:
2501 N ORANGE AVE STE 310  ORLANDO, FL 32804-4642 US
Tel: 407-856-7226  Fax: --

Business Mailing Address:
2501 N ORANGE AVE STE 310  ORLANDO, FL 32804-4642 US
Tel: 407-856-7226  Fax: --

NPI Information:
NPI: 1831528223
Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
Y363LP0222XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Pediatrics, Critical Care

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 363LP0222X





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