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Individual
MARISA JO KOOIMA
Active
Individual
MARISA JO KOOIMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN9246107
FL
363LA2200X
Adult Health Nurse Practitioner
ARNP 9246107
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003103900
—
FL
01
—
592202
WELLCARE
FL
01
—
P932403
OPTIMUM
FL
01
—
P988384
FREEDOM HEALTH
FL
01
—
Y06H0
BLUE CROSS BLUE SHIELD
FL
01
—
Y06HO
BCBS OF FL
FL
Enumeration date
12/08/2010
Last updated
09/17/2021
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