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Individual

MRS. MARIA VIRGINIA WITTEBORT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.M

Contact information

Practice address
2401 LAKEVIEW AVE, CLERMONT, FL 34711-3632
(321) 388-7149
Mailing address
9503 FLINTROCK CIR, AUSTIN, TX 78737-1112
(262) 416-9903

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
220
FL
176B00000X
Midwife
99411
TX

Other

Enumeration date
10/22/2008
Last updated
08/14/2023
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