Individual
LARISSA MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
651 N ALAFAYA TRL, ORLANDO, FL 32828-7045
(407) 273-4132
(407) 332-5157
Mailing address
10140 CENTURION PKWY N, JACKSONVILLE, FL 32256-0532
(904) 697-4100
(904) 697-5102
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN11014384
FL
Other
Enumeration date
01/04/2022
Last updated
01/04/2022
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