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Organization
DARDEN FUNCTIONAL HEALTH LLC
Active
Organization
DARDEN FUNCTIONAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRACY EYVETTE GREEN APRN (OWNER)
(813) 610-6737
Entity
Organization
Contact information
Practice address
26246 WESLEY CHAPEL BLVD UNIT 109, LUTZ, FL 33559-7206
(813) 610-6737
Mailing address
26246 WESLEY CHAPEL BLVD UNIT 109, LUTZ, FL 33559-7206
(813) 610-6737
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/18/2023
Last updated
05/18/2023
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