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Individual

CHARMAINE LASHA ADAIR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1601 S MARTIN LUTHER KING JR BLVD, TALLAHASSEE, FL 32307-3105
(850) 599-3000
Mailing address
3034 SERA BELLA WAY, KISSIMMEE, FL 34744-9338
(407) 973-5295

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
APRN11009682
FL
363LG0600X
Gerontology Nurse Practitioner
APRN11009682
FL
363LP2300X
Primary Care Nurse Practitioner
Primary
APRN11009682
FL

Other

Enumeration date
11/05/2020
Last updated
11/05/2020
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