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Individual

CHARLOTTE HIGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5308 W IRLO BRONSON MEMORIAL HWY, KISSIMMEE, FL 34746-4754
(407) 390-9431
Mailing address
5308 W IRLO BRONSON MEMORIAL HWY, KISSIMMEE, FL 34746-4754
(407) 390-9431

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11002377
FL
363LF0000X
Family Nurse Practitioner
26NJ00465800
NJ

Other

Enumeration date
04/22/2014
Last updated
06/24/2021
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