Individual
MARY KRISTIN SURPRENANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM
Contact information
Practice address
903 JAMELA DR, OCOEE, FL 34761-1905
(407) 466-5982
(407) 359-5028
Mailing address
903 JAMELA DR, OCOEE, FL 34761-1905
(407) 644-5567
(407) 644-4975
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
MW287
FL
Other
Enumeration date
11/15/2013
Last updated
06/10/2020
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