Individual
ANISE MARC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7225 MAIDA LN APT 8I, FORT MYERS, FL 33908-4223
(239) 601-0743
Mailing address
7901 4TH ST N STE 300, ST PETERSBURG, FL 33702-4399
(813) 575-1161
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
77100
FL
Other
Enumeration date
11/01/2022
Last updated
11/01/2022
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