Individual
JESSICA HEMOTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2000 FOWLER GROVE BLVD, WINTER GARDEN, FL 34787-5050
(407) 609-7395
Mailing address
2200 FOWLER GROVE BLVD STE 300, WINTER GARDEN, FL 34787-5597
(407) 559-8736
(407) 614-0796
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
11031764
FL
363L00000X
Nurse Practitioner
Primary
APRN11031764
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123576200
—
FL
Enumeration date
05/16/2024
Last updated
09/23/2024
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