Individual
KRESTANA KAY HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3913 SW 57TH TER, OCALA, FL 34474
(561) 315-1234
Mailing address
1503 BUENOS AIRES BLVD STE 150, LADY LAKE, FL 32159-6823
(352) 750-5882
(352) 750-9947
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2969712
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
JE518Z
MEDICARE
FL
Enumeration date
01/18/2007
Last updated
07/21/2022
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