Individual
DEANNA LYNN NABONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
525 TECHNOLOGY PARK STE 109, LAKE MARY, FL 32746-7107
(407) 647-2346
Mailing address
525 TECHNOLOGY PARK STE 109, LAKE MARY, FL 32746-7107
(407) 647-2346
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9400557
FL
Other
Enumeration date
07/19/2018
Last updated
01/13/2021
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