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Individual

ALINE MIERZEJEWSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
12902 USF MAGNOLIA DR, TAMPA, FL 33612-9416
(813) 745-4673
Mailing address
PO BOX 917770, ORLANDO, FL 32891-7770

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP1454632
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
Y7340
BLUE CROSS BLUE SHIELD
FL
Enumeration date
07/19/2006
Last updated
03/25/2008
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