Individual
AUDRA HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8441 HONORE AVE, UNIVERSITY PARK, FL 34201-2011
(941) 698-6020
Mailing address
11322 AUTUMN LEAF WAY, BRADENTON, FL 34212-2503
(941) 587-7636
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11035012
FL
Other
Enumeration date
08/30/2024
Last updated
08/30/2024
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