Individual
MRS. CANDACE BROOKE BOONE DEBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3001 W DR MARTIN LUTHER KING JR BLVD, TAMPA, FL 33607-6307
(813) 554-8387
(813) 554-8937
Mailing address
3001 W DR MARTIN LUTHER KING JR BLVD, TAMPA, FL 33607-6307
(813) 554-8387
(813) 554-8937
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
9233668
FL
Other
Enumeration date
10/20/2016
Last updated
06/23/2020
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