Individual
GENEROSE HIPOS TADLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
145 ALDER AVE, ALTAMONTE SPG, FL 32714-2127
(407) 907-3933
Mailing address
2250 BEDFORD RD, ORLANDO, FL 32803-1443
(407) 303-7869
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
APRN11028818
FL
Other
Enumeration date
09/29/2023
Last updated
09/29/2023
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