Individual
LYMARIE M. VILELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
128 PRAIRIE FALCON DR, GROVELAND, FL 34736-8005
(787) 409-3993
Mailing address
128 PRAIRIE FALCON DR, GROVELAND, FL 34736-8005
(787) 409-3993
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11014131
FL
Other
Enumeration date
04/14/2016
Last updated
03/12/2023
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