Individual
MRS. KALEY ELIZABETH DEBORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN, AGNP-C
Contact information
Practice address
111 LAKE HOLLINGSWORTH DR, LAKELAND, FL 33801-5698
(863) 680-4111
Mailing address
111 LAKE HOLLINGSWORTH DR, LAKELAND, FL 33801-5698
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11035020
FL
Other
Enumeration date
09/02/2024
Last updated
09/02/2024
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