Individual
CHARITA T HEARN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
14332 HADDON MIST DR, WIMAUMA, FL 33598-3706
(813) 500-7591
Mailing address
11232 BOYETTE RD # 1239, RIVERVIEW, FL 33569-8009
(813) 500-7591
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5171946
FL
Other
Enumeration date
07/23/2025
Last updated
07/23/2025
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