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Individual

MRS. ANNA LINES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
2555 S VOLUSIA AVE, ORANGE CITY, FL 32763-9116
(386) 774-0401
(386) 774-0401
Mailing address
2555 S VOLUSIA AVE, ORANGE CITY, FL 32763-9116
(386) 774-0401

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9285312
FL

Other

Enumeration date
12/18/2017
Last updated
12/18/2017
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