Organization
NUESSENCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAVINA V VENKOVA-GONZALEZ FNP-C (OWNER)
(813) 966-9986
Entity
Organization
Contact information
Practice address
18001 MALAKAI ISLE DR, TAMPA, FL 33647-2991
(813) 966-9986
Mailing address
18001 MALAKAI ISLE DR, TAMPA, FL 33647-2991
(813) 966-9986
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
ARNP9364586
FL
Other
Enumeration date
08/22/2016
Last updated
08/22/2016
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