Individual
MISS ANCY LUKOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15602 N DALE MABRY HWY, TAMPA, FL 33618-1606
(813) 915-5459
Mailing address
15602 N DALE MABRY HWY, TAMPA, FL 33618-1606
(813) 915-5459
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN11000953
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114654600
—
FL
01
—
QR808
HFMG MA
FL
Enumeration date
02/20/2020
Last updated
05/01/2023
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