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Individual

KRISTOPHER GATES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ARNP

Contact information

Practice address
4726 N HABANA AVE STE 204, TAMPA, FL 33614-7144
(813) 682-0347
Mailing address
504 N REO ST, TAMPA, FL 33609-1013
(813) 549-2134
(813) 864-4436

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP9183257
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ARNP9183257
STATE OF FLORIDA
FL
Enumeration date
06/10/2014
Last updated
10/10/2019
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