Individual
MS. CORAL ETSHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
12301 LAKE UNDERHILL RD, ORLANDO, FL 32828-4508
(407) 367-0734
Mailing address
12301 LAKE UNDERHILL RD, ORLANDO, FL 32828-4508
(407) 367-0734
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
9280984
FL
Other
Enumeration date
09/08/2016
Last updated
09/08/2016
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