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Individual

BETH HALLIBURTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
1507 S HIAWASSEE RD STE 105, ORLANDO, FL 32835-5706
(407) 445-9224
Mailing address
10257 KABANA BLVD, CLERMONT, FL 34711-7888
(407) 928-7013

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
ARNP9325968
FL

Other

Enumeration date
05/14/2017
Last updated
05/14/2017
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