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1639353410
JEAN M KANIDIS
LAKELAND, FL
NPI
1639353410
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL APRN9307005)
Enumeration Date
2007-12-28
Last Update Date
2023-08-01
Business Address
Mrs. JEAN M KANIDIS APRN
2300 E COUNTY ROAD 540A
LAKELAND, FL 33813-3825
Phone number: 863-680-7190
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Mailing Address
Mrs. JEAN M KANIDIS APRN
1600 LAKELAND HILLS BLVD
LAKELAND, FL 33805-3019
Phone number: 863-680-7000
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