Individual
AMARILYS ROQUE ROQUE BAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
121 S ORANGE AVE, ORLANDO, FL 32801-3221
(407) 556-5726
Mailing address
8507 DAWN DR, ORLANDO, FL 32809-7923
(407) 556-5726
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN11013393
FL
Other
Enumeration date
05/31/2021
Last updated
05/31/2021
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