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Organization
NP ON DUTY LLC
Active
Organization
NP ON DUTY LLC
Active
Other names
NP ON DUTY LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LEONNE M DERAVINE (OWNER)
(813) 278-2044
Entity
Organization
Contact information
Practice address
911 S PARSONS AVE STE H, BRANDON, FL 33511-6042
(813) 729-4269
Mailing address
911 S PARSONS AVE STE H, BRANDON, FL 33511-6042
(813) 729-4269
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/25/2023
Last updated
03/29/2024
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