Individual
SEVILLA BRONSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4460 WESTOVER DR, TALLAHASSEE, FL 32303-2461
(850) 591-8555
Mailing address
4460 WESTOVER DR, TALLAHASSEE, FL 32303-2461
(850) 591-8555
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
2009022
FL
Other
Enumeration date
03/25/2014
Last updated
03/25/2014
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