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Individual

MICHELLE J VAN DE WALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
781 CYPRESS VILLAGE BLVD, SUN CITY CENTER, FL 33573-6801
(727) 824-0780
(727) 568-6011
Mailing address
781 CYPRESS VILLAGE BLVD, SUN CITY CENTER, FL 33573-6801
(727) 824-0780
(727) 568-6011

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN9165034
FL

Other

Enumeration date
12/14/2010
Last updated
01/24/2024
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