Individual
MRS. DELORES ANEITA COKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8327 NORTHGATE DR, ORLANDO, FL 32818-8614
(754) 234-2991
Mailing address
8327 NORTHGATE DR, ORLANDO, FL 32818-8614
(754) 234-2991
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
958881
FL
Other
Enumeration date
01/12/2017
Last updated
01/12/2017
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