Individual
LOVE BAMISILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2637 W STATE ROAD 426 STE 1021, OVIEDO, FL 32765-8325
(321) 340-3490
Mailing address
7360 CURRY FORD RD UNIT 721601, ORLANDO, FL 32872-7576
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11024711
FL
Other
Enumeration date
02/15/2023
Last updated
12/05/2023
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