HEATHER MARIE PONALL

TAMPA, FL
NPI1851540728
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: FL  9200004)
Enumeration Date2008-09-16
Last Update Date2019-06-26
Business Address
Mrs. HEATHER MARIE PONALL APRN
3910 NORTHDALE BLVD STE 206
TAMPA, FL 33624
Phone number: 813-264-7922
Mailing Address
Mrs. HEATHER MARIE PONALL APRN
5139 KARLSBURG PL
PALM HARBOR, FL 34685-3619
Phone number: 727-644-1388
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