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Individual

EMMANUELA DERISBRUN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NURSE PRACTITIONER

Contact information

Practice address
1917 BOOTHE CIR, LONGWOOD, FL 32750-6708
(407) 679-3337
Mailing address
1917 BOOTHE CIR, LONGWOOD, FL 32750-6708
(407) 679-3337

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F12200582
FL

Other

Enumeration date
05/08/2021
Last updated
02/25/2026
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