Individual
LORI ANN REALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
515 E DAVIS BLVD, TAMPA, FL 33606-3919
(239) 470-4723
(239) 470-4723
Mailing address
515 E DAVIS BLVD, TAMPA, FL 33606-3919
(239) 470-4723
(239) 470-4723
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
11039948
FL
Other
Enumeration date
06/11/2025
Last updated
06/11/2025
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