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1770231383
LIDIA PARADA PENA
PORT CHARLOTTE, FL
NPI
1770231383
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL APRN11008382)
Enumeration Date
2022-03-13
Last Update Date
2024-09-26
Business Address
LIDIA PARADA PENA APRN
22395 EDGEWATER DR
PORT CHARLOTTE, FL 33980-2012
Phone number: 941-766-7222
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Mailing Address
LIDIA PARADA PENA APRN
PO BOX 102222
ATLANTA, GA 30368-2222
Phone number: 239-274-8200
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