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Individual
MRS. ELIZABETH BOCANEGRA
Active
Individual
MRS. ELIZABETH BOCANEGRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, NP-C, RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9476487
FL
363LF0000X
Family Nurse Practitioner
Primary
11013197
FL
Other
Enumeration date
06/21/2021
Last updated
06/21/2021
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