Np Extender Service Llc

NPI 1467676437 - Nurse Practitioner - 363LG0600X

NPI Details
NPI 1467676437
Enumeration Date 04/12/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name M SANDRA M
Position PRESIDENT
Phone (727) 465-8515
Fax (727) 867-2119
Practice Location
200 2ND AVE S
# 340
ST PETERSBURG FL, 33701-4313, US
Phone (727) 465-8515
Fax (727) 867-2119
Business Location
200 2ND AVE S
# 340
ST PETERSBURG FL, 33701-4313, US
Phone (727) 465-8515
Fax (727) 867-2119
Toxanomy
Taxonomy Code 363LG0600X
License State Florida
License Number 1740872
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According to our database, Np Extender Service Llc NPI is 1467676437, taxonomy code is 363LG0600X and license number is 1740872, license state is located at Florida. Np Extender Service Llc physically located at 200 2nd Ave S, St Petersburg FL, 33701-4313. NPI Number 1033115704 has the healthcare provider type.

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1467676437 NPI number is provided on an as is basis without warranty of any kind. 1467676437 is maintained by the National Plan & Provider Enumeration System. The contents of Np Extender Service Llc are for informational purposes only.