Individual
ELEANOR EMONG MANERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
10774 125TH AVE, LARGO, FL 33778-2712
(727) 412-4898
Mailing address
10774 125TH AVE, LARGO, FL 33778-2712
(727) 412-4898
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
11004868
FL
Other
Enumeration date
10/30/2019
Last updated
10/30/2019
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