RENAN ERNESTO CONSUEGRA

TAMPA, FL
NPI1093284788
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: FL  APRN11000264)
Enumeration Date2018-11-26
Last Update Date2021-09-10
Business Address
RENAN ERNESTO CONSUEGRA
8875 HIDDEN RIVER PKWY STE 300
TAMPA, FL 33637-2087
Phone number: 866-949-0108
Mailing Address
RENAN ERNESTO CONSUEGRA
40 S MAIN ST STE 1300
MEMPHIS, TN 38103-5513
Phone number: 866-949-0108