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Individual

LETICIA JAVIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
2200 N PALAFOX ST, PENSACOLA, FL 32501-1723
(850) 436-4630
(850) 436-2095
Mailing address
2200 N PALAFOX ST, PENSACOLA, FL 32501-1723
(850) 436-4630
(850) 436-2095

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
ARNP 2005262
FL
363LP2300X
Primary Care Nurse Practitioner
Primary
1326086166
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
307350500
FL
01
59183307
BCBS AL
AL
01
Y073R
BCBS FL
FL
Enumeration date
06/03/2006
Last updated
06/10/2013
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