Individual
MS. MICHELLE G LEVARGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
11707 CLUB DR, TAMPA, FL 33612-5521
(814) 631-7123
Mailing address
8971 IRON OAK AVE, TAMPA, FL 33647-3161
(813) 973-7622
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP 9168834
FL
Other
Enumeration date
02/17/2006
Last updated
02/23/2009
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