Individual
MS. ANNETTE MORTIMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1024 WILLA SPRINGS DR, WINTER SPRINGS, FL 32708-5214
(407) 699-5506
Mailing address
5467 VINELAND RD, ORLANDO, FL 32811-7666
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
770014
NY
Other
Enumeration date
10/17/2019
Last updated
10/17/2019
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