Individual
FARAH LIZAIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7236 STONEROCK CIR, ORLANDO, FL 32819-8000
(321) 841-6444
Mailing address
2013 PURITAN RD, ORLANDO, FL 32807-8409
(321) 576-6815
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN11029705
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN11029705
FL
Other
Enumeration date
10/12/2023
Last updated
01/18/2024
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