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Individual

MRS. APRIL SUZETTE KROGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
4930 E LAKE MARY BLVD, SANFORD, FL 32771-5003
(407) 322-8645
(407) 330-5074
Mailing address
4930 E LAKE MARY BLVD, SANFORD, FL 32771-5003
(407) 322-8645
(407) 330-5074

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5006693
NC
363L00000X
Nurse Practitioner
Primary
9246919
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
015139200
FL
Enumeration date
11/29/2013
Last updated
06/07/2016
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