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Individual

LORETTA M. CONTI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
14540 SPOTTED SANDPIPER BLVD, WINTER GARDEN, FL 34787-8751
(407) 516-8576
Mailing address
14540 SPOTTED SANDPIPER BLVD, WINTER GARDEN, FL 34787-8751

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9102660
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PA9102660
STATE LICENSE
FL
Enumeration date
08/09/2006
Last updated
02/17/2015
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