Individual
CERILA MAE ESIC LAGARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
5738 MOSSBERG DR, NEW PORT RICHEY, FL 34655-1139
(727) 481-0518
Mailing address
5738 MOSSBERG DR, NEW PORT RICHEY, FL 34655-1139
(727) 481-0518
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11034158
FL
Other
Enumeration date
07/19/2024
Last updated
07/19/2024
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