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Individual

KATHLEEN N ADRAGNA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
1717 S ORANGE AVE STE 100, ORLANDO, FL 32806-2946
(407) 650-7000
(407) 567-5924
Mailing address
PO BOX 191, PROVIDER ENROLLMENT DEPT, ROCKLAND, DE 19732-0191
(302) 651-6212
(302) 651-4945

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9165905
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
302939500
FL
Enumeration date
07/05/2005
Last updated
05/30/2013
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