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JEFFREY SHANE LADWIG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN

Contact information

Practice address
6310 HEALTH PARK WAY, LAKEWOOD RANCH, FL 34202-5177
(941) 225-8510
Mailing address
6310 HEALTH PARK WAY STE 320, LAKEWOOD RANCH, FL 34202-5177
(941) 225-8510

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
11030642
FL

Other

Enumeration date
03/05/2024
Last updated
03/05/2024
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