Individual
JAN MICHELLE LOMANTA ROFLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
6216 W GULF TO LAKE HWY, CRYSTAL RIVER, FL 34429-7558
(352) 613-5853
Mailing address
4735 N APPLE VALLEY AVE, BEVERLY HILLS, FL 34465-3008
(352) 613-5853
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
11003106
FL
363LG0600X
Gerontology Nurse Practitioner
Primary
11003106
FL
363LP2300X
Primary Care Nurse Practitioner
11003106
FL
Other
Enumeration date
07/12/2019
Last updated
07/12/2019
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