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1538500400
ELLEN NICOLE DESIMONE
ORMOND BEACH, FL
NPI
1538500400
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL ARNP9254081)
Enumeration Date
2013-07-08
Last Update Date
2017-01-18
Business Address
-- ELLEN NICOLE DESIMONE A.R.N.P.
200 BOOTH RD SUITE A
ORMOND BEACH, FL 32174-5715
Phone number: 386-425-1212
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Mailing Address
-- ELLEN NICOLE DESIMONE A.R.N.P.
417 BLACK OAK LN
ORMOND BEACH, FL 32174-4897
Phone number: 386-295-2258
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