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1821053083
ANTHONY P LAVIANO
BROOKSVILLE, FL
NPI
1821053083
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL ARNP 2156622)
Enumeration Date
2006-04-19
Last Update Date
2012-11-19
Business Address
Mr. ANTHONY P LAVIANO ARNP
12220 CORTEZ BLVD
BROOKSVILLE, FL 34613-2631
Phone number: 352-556-5216
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Mailing Address
Mr. ANTHONY P LAVIANO ARNP
12220 CORTEZ BLVD
BROOKSVILLE, FL 34613-2631
Phone number: 352-610-9905
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