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TILA ALICIA SKIPPER-RESENDIZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
280 FARNER PL, THE VILLAGES, FL 32163-6066
(352) 674-1710
(352) 674-8910
Mailing address
1020 LAKE SUMTER LNDG, THE VILLAGES, FL 32162-2699
(352) 674-8905
(352) 674-8901

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
11008588
FL
363LG0600X
Gerontology Nurse Practitioner
11008588
FL
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN11008588
FL
363LP2300X
Primary Care Nurse Practitioner
11008588
FL

Other

Enumeration date
08/23/2020
Last updated
12/08/2021
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