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Individual

ANDREA MAE LILAVOIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
1845 HOLSONBACK DR, DAYTONA BEACH, FL 32117-5114
(386) 274-0500
Mailing address
785 PRIMERA BLVD STE 1031, LAKE MARY, FL 32746-2124
(407) 834-8111
(407) 834-8506

Taxonomy

Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
9275357
FL

Other

Enumeration date
01/05/2015
Last updated
05/03/2018
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