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Individual

MRS. AMY MELISSA EATON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
1123 WALT WILLIAMS RD LOT 192, LAKELAND, FL 33809-2392
(863) 582-2916
Mailing address
1123 WALT WILLIAMS RD LOT 192, LAKELAND, FL 33809-2392
(863) 582-2916

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN11001881
FL

Other

Enumeration date
03/16/2020
Last updated
03/16/2020
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