Individual
IAN EVERETT LOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
12902 USF MAGNOLIA DR, TAMPA, FL 33612-9416
(813) 745-4673
Mailing address
3703 N OLA AVE, TAMPA, FL 33603-4735
(843) 813-1059
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP9384742
FL
Other
Enumeration date
09/06/2017
Last updated
02/29/2024
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