Individual
MARIA DE LOURDES DE LOURDES COATS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
5608 TPC BLVD, LUTZ, FL 33558-2850
(424) 903-5647
Mailing address
5608 TPC BLVD, LUTZ, FL 33558-2850
(424) 903-5647
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
111028947
FL
Other
Enumeration date
12/07/2023
Last updated
12/07/2023
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