Individual
MARITZA LEZCANO FUEGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4572 BLUEBERRY WOODS TRL, JACKSONVILLE, FL 32258-4181
(786) 384-2033
Mailing address
4572 BLUEBERRY WOODS TRL, JACKSONVILLE, FL 32258-4181
(786) 384-2033
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
11026624
FL
Other
Enumeration date
06/22/2023
Last updated
07/26/2023
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