Individual
NICOLE MARIE FUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 TAMPA GENERAL CIR STE G-417, TAMPA, FL 33606-3571
(813) 844-7968
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN11030776
FL
Other
Enumeration date
01/24/2024
Last updated
04/09/2025
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