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Individual

MR. PAUL J ESTRADA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN

Contact information

Practice address
7504 CYPRESS GARDENS BLVD, WINTER HAVEN, FL 33884-3200
(863) 875-6063
(863) 875-6063
Mailing address
7504 CYPRESS GARDENS BLVD, WINTER HAVEN, FL 33884-3200
(863) 875-6063
(863) 875-6086

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN3141692
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
APRN3141692
FLDOH
FL
Enumeration date
10/02/2013
Last updated
05/07/2021
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