Individual
CHARLOTTE DEOLASO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
859 37TH AVE NE, ST PETERSBURG, FL 33704-1621
(727) 498-0624
(727) 498-0625
Mailing address
859 37TH AVE NE, ST PETERSBURG, FL 33704-1621
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2877382
FL
Other
Enumeration date
04/24/2013
Last updated
04/24/2013
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