Individual
ALISHA DAWN BATEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7678 LAKE OLA DR., MOUNT DORA, FL 32757
(407) 467-7791
Mailing address
7678 LAKE OLA DR, MOUNT DORA, FL 32757-7121
(407) 467-7791
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11004285
FL
Other
Enumeration date
10/16/2019
Last updated
10/16/2019
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