JEANNETTE R DERITA

PORT ORANGE, FL
NPI1528666575
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: FL  APRN11009651)
Enumeration Date2020-10-13
Last Update Date2021-12-13
Business Address
Ms. JEANNETTE R DERITA ARNP
1690 DUNLAWTON AVE STE 120
PORT ORANGE, FL 32127-8980
Phone number: 386-449-9650
Mailing Address
Ms. JEANNETTE R DERITA ARNP
1690 DUNLAWTON AVE STE 120
PORT ORANGE, FL 32127-8980
Phone number:
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