Individual
SOMTOCHUKWU QUEEN AGBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13000 BRUCE B DOWNS BLVD, TAMPA, FL 33612-4745
(813) 972-2000
Mailing address
23232 WILLOW GLEN WAY, LUTZ, FL 33549-5693
(813) 352-7398
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
APRN11024416
FL
Other
Enumeration date
02/27/2024
Last updated
04/14/2024
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