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Individual

CARRIE MICHELLE BELLEMORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
13275 W COLONIAL DR, WINTER GARDEN, FL 34787-3984
(407) 905-8827
Mailing address
110 S WOODLAND ST, WINTER GARDEN, FL 34787-3546
(407) 905-8827
(407) 654-4079

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
ARNP9205421
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004357400
FL
Enumeration date
11/26/2011
Last updated
07/28/2017
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