Individual
MRS. MARY PHILIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
13203 CHATTANOOGA LN, ORLANDO, FL 32837-4005
(407) 232-5641
Mailing address
13203 CHATTANOOGA LN, ORLANDO, FL 32837-4005
(407) 232-5641
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2988912
FL
Other
Enumeration date
05/28/2015
Last updated
05/28/2015
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