LISA RENEE MUTH

JACKSONVILLE, FL
NPI1518910322
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: FL  ARNP2218732)
Enumeration Date2006-05-19
Last Update Date2007-07-08
Business Address
-- LISA RENEE MUTH A.R.N.P.
7900 BELFORT PKWY SUITE 300
JACKSONVILLE, FL 32256-6931
Phone number: 904-281-0107
Mailing Address
-- LISA RENEE MUTH A.R.N.P.
3355 CLAIRE LN #1604
JACKSONVILLE, FL 32223-6677
Phone number: 904-880-1496