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Organization
PP-FL LLC
Active
Organization
PP-FL LLC
Active
Other names
Passport Health
Organization subpart
No
Provider details
NPI number
Authorized official
DUELLYN PANDIS ARNP (EXECUTIVE DIRECTOR)
(813) 969-3757
Entity
Organization
Contact information
Practice address
4204 W LINEBAUGH AVE, TAMPA, FL 33624-5241
(813) 969-3757
(813) 969-3052
Mailing address
4204 W LINEBAUGH AVE, TAMPA, FL 33624-5241
(813) 969-3757
(813) 969-3052
Taxonomy
Speciality
Code
Description
License number
State
363LX0106X
Occupational Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/11/2021
Last updated
11/11/2021
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