Organization
AEVR WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIBEL MORA (OWNER)
(813) 585-9149
Entity
Organization
Contact information
Practice address
18514 N DALE MABRY HWY, LUTZ, FL 33548-7900
(813) 585-9149
Mailing address
18514 N DALE MABRY HWY, LUTZ, FL 33548-7900
(813) 585-9149
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/29/2025
Last updated
05/29/2025
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