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Individual

ELIZABETH ANN PETRO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
4323 FAIRCOURT DR, VALRICO, FL 33596-7802
(813) 662-4211
Mailing address
4323 FAIRCOURT DR, VALRICO, FL 33596-7802
(813) 662-4211

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9163333
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RN9163333
REGISTERED
FL
Enumeration date
04/09/2017
Last updated
04/09/2017
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