Individual
LATOYA DENISE MIKELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
237 FERNWOOD BLVD, FERN PARK, FL 32730-2116
(407) 831-2411
(407) 831-6760
Mailing address
237 FERNWOOD BLVD, FERN PARK, FL 32730-2116
(407) 831-2411
(407) 831-6760
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5158514
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PN5158514
LPN
FL
Enumeration date
06/03/2008
Last updated
06/03/2008
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