Individual
DEANNA JUDEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5 W ORANGE ST, TARPON SPRINGS, FL 34689-3443
(727) 934-7246
Mailing address
11902 NORTHUMBERLAND DR, TAMPA, FL 33626-1326
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9338351
FL
Other
Enumeration date
11/04/2018
Last updated
11/04/2018
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