JACKIE DARRELL RATLIFF

TAMPA, FL
NPI1982372967
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner Adult Health
(Licence: FL  11008066)
Enumeration Date2021-09-02
Last Update Date2023-04-17
Business Address
MR. JACKIE DARRELL RATLIFF APRN
13000 BRUCE B DOWNS BLVD
TAMPA, FL 33612-4745
Phone number: 813-972-2000
Mailing Address
MR. JACKIE DARRELL RATLIFF APRN
11950 RUDDY RUN
ODESSA, FL 33556-4096
Phone number: 727-514-0451
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