Individual
MISS CHRISTA JOANN LEQUEAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2300 FL-524, SUITE 106, COCOA, FL 32926
(321) 321-3001
Mailing address
7100 BLUE SHORE RD, GRANT VALKARIA, FL 32949-2202
(321) 863-3751
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11032399
FL
Other
Enumeration date
04/26/2024
Last updated
04/26/2024
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