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Organization
NORINE LATIZKE ARNP, LLC
Active
Organization
NORINE LATIZKE ARNP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NORINE BARDILL LABITZKE ARNP (OWNER)
(850) 878-0484
Entity
Organization
Contact information
Practice address
1018 THOMASVILLE RD STE 106, TALLAHASSEE, FL 32303-6271
(850) 878-0484
Mailing address
1529 CHOWKEEBIN NENE, TALLAHASSEE, FL 32301-4705
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014288700
—
FL
Enumeration date
07/19/2016
Last updated
07/19/2016
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