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Individual

BRIAN GARDINER HARTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSN, FNP-BC, CCRN

Contact information

Practice address
45 LAKE ELBERT DR SE, WINTER HAVEN, FL 33880-3058
(863) 293-1191
Mailing address
500 E CENTRAL AVE, WINTER HAVEN, FL 33880-3053
(863) 293-1191

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN9212771
FL

Other

Enumeration date
12/29/2016
Last updated
07/21/2022
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