Individual
MRS. DESTINEE BERTIA BLEI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
1847 FLORIDA AVE, PANAMA CITY, FL 32405
(850) 914-8600
Mailing address
1847 FLORIDA AVE, PANAMA CITY, FL 32405-4640
(850) 914-8600
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP9362187
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ARNP9362187
MEDICAL LICENSE
FL
Enumeration date
06/21/2018
Last updated
09/26/2019
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