Individual
MONICA M IMMORDINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
20 BLANDING BLVD, ORANGE PARK, FL 32073-2235
(904) 773-8977
(904) 773-8974
Mailing address
6101 BLUE LAGOON DR STE 400, MIAMI, FL 33126-2051
(305) 500-2000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN9426913
FL
363L00000X
Nurse Practitioner
R114730
MD
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN9426913
FL
Other
Enumeration date
11/17/2006
Last updated
03/02/2022
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