PAULA SURYANI WIBOWO

LAKELAND, FL
NPI1427681410
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: FL  11006209)
Enumeration Date2020-02-18
Last Update Date2023-11-27
Business Address
PAULA SURYANI WIBOWO APRN
1600 LAKELAND HILLS BLVD
LAKELAND, FL 33805-3019
Phone number: 863-680-7490
Mailing Address
PAULA SURYANI WIBOWO APRN
1600 LAKELAND HILLS BLVD
LAKELAND, FL 33805-3065
Phone number: 863-680-7000