Individual
DETSY Z NEGRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
121 CHAMPIONS VUE LOOP, APT 101, DAVENPORT, FL 33897
(939) 232-6642
Mailing address
121 CHAMPIONS VUE LOOP, APT 101, DAVENPORT, FL 33897
(939) 232-6642
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
9270266
FL
Other
Enumeration date
11/07/2018
Last updated
11/07/2018
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