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Individual

ANGELA DALIANA LEGRA REYES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6901 BARRY RD, TAMPA, FL 33634-2915
(813) 503-7655
Mailing address
6901 BARRY RD, TAMPA, FL 33634-2915
(813) 503-7655

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11045117
FL

Other

Enumeration date
01/27/2026
Last updated
01/27/2026
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