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1144845413
STASE ELENA MICHOTA
SAINT PETERSBURG, FL
NPI
1144845413
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: FL APRN11001287)
Enumeration Date
2020-06-12
Last Update Date
2020-06-12
Business Address
STASE ELENA MICHOTA
6901 22ND AVE N
SAINT PETERSBURG, FL 33710-3943
Phone number: 727-341-0212
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Mailing Address
STASE ELENA MICHOTA
1285 79TH ST S
SAINT PETERSBURG, FL 33707-2718
Phone number: 727-492-8240
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