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Individual

MR. CODI LANE RHEAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN

Contact information

Practice address
1400 S ORANGE AVE, ORLANDO, FL 32806-2134
(407) 648-3800
(321) 841-1893
Mailing address
1400 S ORANGE AVE, ORLANDO, FL 32806-2134
(407) 648-3800
(321) 841-1893

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN11020218
FL
363L00000X
Nurse Practitioner
RN223208
GA
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN11020218
FL

Other

Enumeration date
06/20/2016
Last updated
10/21/2024
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