Individual
JEANE COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
910 MARABON AVE, ORLANDO, FL 32806-1806
(407) 513-4991
Mailing address
910 MARABON AVE, ORLANDO, FL 32806-1806
(407) 513-4991
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1245502
FL
Other
Enumeration date
12/07/2009
Last updated
01/21/2010
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