Individual
ASHLEY MOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4435 US HIGHWAY 98 N, LAKELAND, FL 33809-0402
(863) 858-8000
Mailing address
3810 S FLORIDA AVE, LAKELAND, FL 33813-1125
(863) 858-8000
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
11011281
FL
Other
Enumeration date
01/27/2021
Last updated
07/01/2021
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