Individual
BRENDA LEE LAROSEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3 MITCHELL CT, ORANGE PARK, FL 32073-5934
(401) 258-1144
Mailing address
807 CHILDRENS WAY, JACKSONVILLE, FL 32207-8426
(904) 697-3600
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11007918
FL
Other
Enumeration date
07/30/2021
Last updated
07/30/2021
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