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1578296034
FERNANDO ALEXIS QUINTANILLA LEYVA
CLEARWATER, FL
NPI
1578296034
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL APRN11020845)
Enumeration Date
2022-07-02
Last Update Date
2024-08-21
Business Address
FERNANDO ALEXIS QUINTANILLA LEYVA
14100 58TH ST N
CLEARWATER, FL 33760-9900
Phone number: 727-824-8181
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Mailing Address
FERNANDO ALEXIS QUINTANILLA LEYVA
14100 58TH ST N
CLEARWATER, FL 33760-9900
Phone number: 727-824-8181
Copy
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