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Individual

MRS. DEBRA LYNN MUNDINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
11715 ORPINGTON ST, SUITE A, ORLANDO, FL 32817-4600
(407) 380-9115
(407) 380-9189
Mailing address
PO BOX 191, ROCKLAND, DE 19732-0191
(302) 651-6212
(302) 651-4945

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP2507842
FL
363LP0200X
Pediatric Nurse Practitioner
ARNP2507842
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
014262700
FL
Enumeration date
07/20/2011
Last updated
05/26/2015
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