Individual
MICHELLE DOUBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4850 SE 110TH ST, BELLEVIEW, FL 34420
(352) 233-2360
(352) 690-2171
Mailing address
4850 SE 110TH ST, BELLEVIEW, FL 34420-3118
(352) 690-2171
(352) 690-6954
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
ARNP9362866
FL
Other
Enumeration date
04/16/2018
Last updated
05/29/2018
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