Individual
DAISY BABY PULINILKUMKALAYIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1426 W. BUSH BLVD. SUITE #105, SUITE #105, TAMPA, FL 33612
(813) 935-0225
Mailing address
10805 CARLOWAY HILLS DR, WIMAUMA, FL 33598-6143
(813) 270-0086
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
ARNP9228951
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN9228951
FLORIDA BOARD OF NURSING
FL
Enumeration date
10/26/2018
Last updated
10/26/2018
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