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1306564323
SALICONTE CHARLES
MAITLAND, FL
NPI
1306564323
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: FL 11021404)
Enumeration Date
2022-08-16
Last Update Date
2022-08-16
Business Address
SALICONTE CHARLES
2201 LUCIEN WAY STE 100
MAITLAND, FL 32751-7003
Phone number: 407-691-4517
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Mailing Address
SALICONTE CHARLES
4862 SOUTHLAWN AVE
ORLANDO, FL 32811-7610
Phone number: 561-859-3316
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