Individual
MILDRED CATHERINE CONNEELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1701 W JETTON AVE, TAMPA, FL 33606-3026
(813) 786-6364
Mailing address
1701 W JETTON AVE, TAMPA, FL 33606-3026
(813) 786-6364
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
F02180856
FL
Other
Enumeration date
05/01/2018
Last updated
05/01/2018
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