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1427760982
GODLAND PADIERNOS VERDE
TALLAHASSEE, FL
NPI
1427760982
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL APRN11022861)
Enumeration Date
2022-12-15
Last Update Date
2023-02-28
Business Address
GODLAND PADIERNOS VERDE
1401 CENTERVILLE RD STE 300
TALLAHASSEE, FL 32308-4639
Phone number: 850-577-5115
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Mailing Address
GODLAND PADIERNOS VERDE
1401 CENTERVILLE RD STE 300
TALLAHASSEE, FL 32308-4639
Phone number:
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