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1093284788
RENAN ERNESTO CONSUEGRA
TAMPA, FL
NPI
1093284788
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL APRN11000264)
Enumeration Date
2018-11-26
Last Update Date
2021-09-10
Business Address
RENAN ERNESTO CONSUEGRA
8875 HIDDEN RIVER PKWY STE 300
TAMPA, FL 33637-2087
Phone number: 866-949-0108
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Mailing Address
RENAN ERNESTO CONSUEGRA
40 S MAIN ST STE 1300
MEMPHIS, TN 38103-5513
Phone number: 866-949-0108
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