Individual
LISA MANUBENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11114 CAMDEN PARK DR, WINDERMERE, FL 34786-5634
(727) 871-6161
Mailing address
PO BOX 537, HAINES CITY, FL 33845-0537
(727) 871-6161
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN11036629
FL
Other
Enumeration date
12/03/2024
Last updated
12/03/2024
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