Individual
DR. ALYSSA PTACEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, AGACNP-BC
Contact information
Practice address
400 CELEBRATION PL, CELEBRATION, FL 34747-4970
(407) 303-4000
Mailing address
400 CELEBRATION PL, CELEBRATION, FL 34747-4970
(407) 303-7283
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
11033797
FL
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN11033797
FL
Other
Enumeration date
07/05/2024
Last updated
07/23/2024
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