Individual
MARIA C PUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
600 S CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114-3966
(386) 226-7917
Mailing address
600 S CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114-3966
(386) 226-7917
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
9223426
FL
Other
Enumeration date
10/23/2008
Last updated
10/23/2008
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