Individual
ANDREA LISA ENTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
1324 LAKELAND HILLS BLVD, LAKELAND, FL 33805-4543
(863) 687-1321
(863) 284-1730
Mailing address
1324 LAKELAND HILLS BLVD, ATTN: MANAGED CARE DEPT., LAKELAND, FL 33805
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
RN9213040
FL
163WR0006X
Registered Nurse First Assistant
Primary
RN9213040
FL
Other
Enumeration date
04/05/2013
Last updated
10/02/2017
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