Individual
MYLA ESPANOL OREJUDOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
165 WELLS RD STE 404, ORANGE PARK, FL 32073-3037
(904) 264-3111
(904) 264-3213
Mailing address
3790 BEDFORD DR, MIDDLEBURG, FL 32068-4369
(904) 239-1459
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN11003773
FL
Other
Enumeration date
12/20/2019
Last updated
03/26/2023
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