Individual
ELIZABETH HENSON VERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9753 S ORANGE BLOSSOM TRL STE 101, ORLANDO, FL 32837-8998
(786) 362-2695
(941) 776-7877
Mailing address
9753 S ORANGE BLOSSOM TRL STE 101, ORLANDO, FL 32837-8998
(786) 362-2695
(786) 971-5777
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN11010577
FL
363LP2300X
Primary Care Nurse Practitioner
Primary
APRN11010577
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
88070933
—
FL
Enumeration date
12/13/2020
Last updated
07/20/2024
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