Individual
CAROL LAVERNE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5229 CORTLAND DR, DAVENPORT, FL 33837-1763
(407) 415-5276
Mailing address
5229 CORTLAND DR, DAVENPORT, FL 33837-1763
(407) 415-5276
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11001827
FL
Other
Enumeration date
03/21/2019
Last updated
03/21/2019
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