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1003533217
TASHANA LEWIS
ORLANDO, FL
NPI
1003533217
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: FL 11021965)
Enumeration Date
2022-10-27
Last Update Date
2022-10-27
Business Address
TASHANA LEWIS
3160 SOUTHGATE COMMERCE BLVD
ORLANDO, FL 32806-8549
Phone number: 407-857-8860
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Mailing Address
TASHANA LEWIS
3900 SW 52ND AVE UNIT 804
HOLLYWOOD, FL 33023-6932
Phone number: 954-292-9332
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QUALITY HEALTH CENTER LLC