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Individual

MISS CRISTINA BROCK DE JESUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
3250 ZEMKE AVE, TAMPA, FL 33621-5023
(813) 828-2273
Mailing address
3250 ZEMKE AVE, TAMPA, FL 33621-5023
(813) 828-2273

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN11004622
FL

Other

Enumeration date
06/24/2020
Last updated
06/24/2020
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