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Organization
YOUR FAMILY WALK-IN CLINIC
Active
Organization
YOUR FAMILY WALK-IN CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA ANNE BRUNTON COOLEY FNP-C, PMHS-C (CLINIC OWNER/ MANAGER)
(813) 792-8555
Entity
Organization
Contact information
Practice address
17929 HUNTING BOW CIR, 101, LUTZ, FL 33558-5378
(813) 792-8555
Mailing address
17929 HUNTING BOW CIRCLE, SUITE 101, LUTZ, FL 33558-8400
(813) 792-8555
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2776972
FL
Other
Enumeration date
03/17/2014
Last updated
09/24/2015
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