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Individual

MRS. LAURA RAE DEMETER MORETTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
A.R.N.P.

Contact information

Practice address
4860 WOODBINE RD, SUITE 1 & 2, PACE, FL 32571-8709
(850) 995-8087
(850) 994-5292
Mailing address
4860 WOODBINE RD, SUITE 1 & 2, PACE, FL 32571-8709
(850) 995-8087
(850) 994-5292

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP 9203869
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ARNP 9203869
ADVANCED REGISTERED NURSE PRACTITIONER
FL
Enumeration date
10/28/2008
Last updated
10/28/2008
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