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Individual

MISS JULIANA D AVILA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
110 UNDERWOOD ST, ORLANDO, FL 32806-1139
(407) 422-3790
(407) 425-4358
Mailing address
110 UNDERWOOD ST, ORLANDO, FL 32806-1139
(407) 422-3790
(407) 425-4358

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP60565190
WA
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN9268772
FL
363LP2300X
Primary Care Nurse Practitioner
AP60565190
WA
363LP2300X
Primary Care Nurse Practitioner
APRN9268772
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2044867
WA
Enumeration date
02/08/2015
Last updated
05/21/2024
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