PHOENIX TA

ORLANDO, FL
NPI1457729451
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: FL  ARNP9349473)
Enumeration Date2015-09-08
Last Update Date2021-04-13
Business Address
PHOENIX TA APRN
5105 S ORANGE AVE
ORLANDO, FL 32809-3039
Phone number: 407-901-1808
Mailing Address
PHOENIX TA APRN
5105 S ORANGE AVE
ORLANDO, FL 32809-3039
Phone number: 407-901-1808
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