Individual
LAQUITA GREEN-NORFLEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
636 PALMETTO ST, EUSTIS, FL 32726-3123
(352) 602-1175
Mailing address
1707 HOLLYWOOD AVE, EUSTIS, FL 32726-3111
(352) 602-1175
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116294300
—
FL
Enumeration date
11/20/2018
Last updated
06/02/2023
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