Individual
KOLEEN ARIETA DUMINDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
203 3RD AVE E, BRADENTON, FL 34208-1013
(941) 741-8633
Mailing address
4750 MARSH FIELD RD, SARASOTA, FL 34235-5695
(813) 753-5976
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11001539
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11001539
LICENSE NUMBER
FL
Enumeration date
03/14/2019
Last updated
03/14/2019
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