Individual
LUIS MARRERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2217 NORTH BLVD W, DAVENPORT, FL 33837-8990
(863) 421-3456
Mailing address
2217 NORTH BLVD W, DAVENPORT, FL 33837-8990
(863) 421-3456
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN11026280
FL
363LG0600X
Gerontology Nurse Practitioner
11026280
FL
Other
Enumeration date
06/19/2023
Last updated
08/23/2023
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