Individual
GERMINE LORMERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1613 SW MERIDIAN AVE, PORT ST LUCIE, FL 34953-4300
(954) 864-9098
Mailing address
1613 SW MERIDIAN AVE, PORT SAINT LUCIE, FL 34953-4300
(954) 864-9098
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109954800
—
FL
Enumeration date
08/16/2020
Last updated
09/13/2022
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