Individual
DAIRIS LOPEZ FROMETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 CESERY BLVD, JACKSONVILLE, FL 32211-5674
(904) 551-5884
Mailing address
1226 WINDY WILLOWS DR, JACKSONVILLE, FL 32225-5936
(786) 818-7858
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11032531
FL
Other
Enumeration date
04/29/2024
Last updated
06/14/2024
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