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Individual

MRS. LATRICE N. MARKISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
1200 S PINE ISLAND RD STE 250, PLANTATION, FL 33324-4459
(415) 403-2156
Mailing address
PO BOX 340702, TAMPA, FL 33694-0702
(813) 551-1023

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
115878
WV
363L00000X
Nurse Practitioner
71015301A
IN
363LF0000X
Family Nurse Practitioner
APRN11002166
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11002166
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
CNP231007
ME

Other

Enumeration date
05/16/2019
Last updated
08/23/2024
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