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Individual

CLYDE WILLIAM RENFROE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
APRN, FNP-BC

Contact information

Practice address
22829 STATE ROAD 54, LAND O LAKES, FL 34639-5227
(813) 915-5459
(813) 345-8172
Mailing address
22829 STATE ROAD 54, LAND O LAKES, FL 34639-5227
(813) 915-5459
(813) 345-8172

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN11017161
FL
363LF0000X
Family Nurse Practitioner
Primary
APRN11017161
FL

Other

Enumeration date
02/21/2022
Last updated
05/10/2022
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