Individual
AISHAH BARTOLOME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5466 THOMASVILLE RD, TALLAHASSEE, FL 32312-3812
(866) 389-2727
Mailing address
4378 SPRING BLOSSOM DR, KISSIMMEE, FL 34746-2897
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11017042
FL
Other
Enumeration date
12/29/2021
Last updated
12/30/2021
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