Individual
MS. KIMBERLY JEAN LUEDECKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1917 BOOTHE CIR, LONGWOOD, FL 32750-6708
(407) 679-3337
(407) 678-7246
Mailing address
1334 FERENDINA DR, DELTONA, FL 32725
(321) 689-8013
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
ARNP9244528
FL
363LP2300X
Primary Care Nurse Practitioner
ARNP9244528
FL
Other
Enumeration date
04/28/2014
Last updated
04/28/2014
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