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Individual

BILLIE GAIL PENDLETON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
1400 S. ORANGE AVE, ORLANDO, FL 32806-2134
(407) 648-3800
(407) 649-6994
Mailing address
1400 S ORANGE AVE, ORLANDO, FL 32806-2134
(407) 648-3800
(407) 425-5203

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP 3079742
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000962700
FL
Enumeration date
10/31/2008
Last updated
03/29/2010
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