Individual
SUBRENA POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12902 USF MAGNOLIA DR, TAMPA, FL 33612-9416
(813) 391-4794
Mailing address
3104 GRAND PAVILION DR UNIT 203, TAMPA, FL 33613-3395
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
ARNP9346949
FL
Other
Enumeration date
12/02/2017
Last updated
12/02/2017
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