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Organization
LONG TERM CARE NETWORK
Active
Organization
LONG TERM CARE NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NERLYN JESTINE (MANAGER)
(561) 460-2464
Entity
Organization
Contact information
Practice address
7025 COUNTY ROAD 46A STE 1071-134, LAKE MARY, FL 32746-4721
(407) 692-7999
Mailing address
7025 COUNTY ROAD 46A STE 1071-134, LAKE MARY, FL 32746-4721
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
04/27/2018
Last updated
04/27/2018
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