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Individual

MRS. CASEY LIN VIERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
15416 N FLORIDA AVE, TAMPA, FL 33613-1244
(813) 960-2400
(813) 960-2410
Mailing address
15416 N FLORIDA AVE, TAMPA, FL 33613-1244
(813) 960-2400
(813) 960-2410

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN3144642
FL
363L00000X
Nurse Practitioner
Primary
ARNP3144642
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
017357900
FL
Enumeration date
01/02/2014
Last updated
09/12/2019
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