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MISTY MICHELLE DESOMMA

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
A.R.N.P.

Contact information

Practice address
15641 NEW HAMPSHIRE CT, FT MYERS, FL 33908-4123
(239) 275-4300
Mailing address
12778 VISTA PINE CIR, FT MYERS, FL 33913-7973
(239) 768-3252

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
ARNP9179099
FL

Other

Enumeration date
05/01/2006
Last updated
07/08/2007
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