Individual
MRS. RETTA BEVERLY SKINNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
40100 HIGHWAY 27, DAVENPORT, FL 33837-5906
(863) 422-4971
Mailing address
40100 HIGHWAY 27, DAVENPORT, FL 33837-5906
(863) 422-4971
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP 9257075
FL
Other
Enumeration date
02/02/2015
Last updated
02/02/2015
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