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Individual

ANITA HUERTA AVILES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610
(352) 294-7475
(352) 846-1570
Mailing address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3001
(352) 294-7475
(352) 846-1570

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9457432
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
022738800
FL
Enumeration date
04/26/2016
Last updated
09/04/2018
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