Individual
ASHLEY MARIE SUDORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7653 GINGER LILY CT, TAMPA, FL 33619-6920
(813) 344-7672
Mailing address
7653 GINGER LILY CT, TAMPA, FL 33619-6920
(813) 344-7672
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F05240432
FL
Other
Enumeration date
05/22/2024
Last updated
05/22/2024
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