Individual
ALAN JOHN DE LA VINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1109 BRIELLE CT, OVIEDO, FL 32765-5404
(863) 669-3415
Mailing address
1109 BRIELLE CT, OVIEDO, FL 32765-5404
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
RN9530854
FL
363L00000X
Nurse Practitioner
Primary
APRN11028542
FL
Other
Enumeration date
04/19/2022
Last updated
10/24/2023
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