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1437810280
LARISSA MOON
ORLANDO, FL
NPI
1437810280
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: FL APRN11014384)
Enumeration Date
2022-01-04
Last Update Date
2022-01-04
Business Address
LARISSA MOON APRN
651 N ALAFAYA TRL
ORLANDO, FL 32828-7045
Phone number: 407-273-4132
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Mailing Address
LARISSA MOON APRN
10140 CENTURION PKWY N
JACKSONVILLE, FL 32256-0532
Phone number: 904-697-4100
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