Individual
MRS. LYDIA ADEBOLA ONATUNDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2062 ACKOLA PT, LONGWOOD, FL 32779-3112
(321) 287-5404
Mailing address
2062 ACKOLA PT, LONGWOOD, FL 32779-3112
(321) 287-5404
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
ARNP9175385
FL
Other
Enumeration date
09/08/2015
Last updated
09/08/2015
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