Individual
EDEN UBAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
11525 CORTEZ BLVD, SPRING HILL, FL 34613-7373
(352) 596-9990
(352) 596-9997
Mailing address
4809 WOODS LANDING LN, TAMPA, FL 33619-7077
(813) 679-6256
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11019425
FL
Other
Enumeration date
11/29/2023
Last updated
11/29/2023
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