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Individual
SUSANA FIORELLA PONCE
Active
Individual
SUSANA FIORELLA PONCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
163WI0500X
Infusion Therapy Registered Nurse
9374806
FL
363L00000X
Nurse Practitioner
APRN11019171
FL
363LF0000X
Family Nurse Practitioner
Primary
APRN11019171
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114739900
—
FL
Enumeration date
05/23/2022
Last updated
03/11/2025
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