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Individual

ASHA K KORNEGAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
15858 SW WARFIELD BLVD., INDIANTOWN, FL 34956-0648
(772) 597-3596
(844) 542-4898
Mailing address
5827 CORPORATE WAY, WEST PALM BEACH, FL 33407-2000
(561) 844-9443
(561) 472-9692

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
2147212
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
306528600
FL
Enumeration date
09/01/2006
Last updated
03/19/2019
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