ETLEVA ILIAZI

JACKSONVILLE, FL
NPI1942808977
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: FL  11003397)
Enumeration Date2020-10-12
Last Update Date2020-10-12
Business Address
ETLEVA ILIAZI
13241 BARTRAM PARK BLVD
JACKSONVILLE, FL 32258-5212
Phone number: 904-288-6910
Mailing Address
ETLEVA ILIAZI
8722 BELLE RIVE BLVD
JACKSONVILLE, FL 32256-8452
Phone number: 904-382-5238
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ASSURED PSYCHIATRY PLLC