ITAMAR WALL

JUPITER, FL
NPI1982243630
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: FL  APRN11005498)
Enumeration Date2019-12-29
Last Update Date2022-09-15
Business Address
Mr. ITAMAR WALL APRN
1002 S OLD DIXIE HWY STE 204
JUPITER, FL 33458-7202
Phone number: 561-517-8678
Mailing Address
Mr. ITAMAR WALL APRN
2718 DANFORTH TER
WELLINGTON, FL 33414-3418
Phone number: 561-517-8678
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