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Individual

JOHN PAUL WELCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ANP-BC, RN

Contact information

Practice address
2113 SARNO RD, MELBOURNE, FL 32935-3001
(321) 676-0558
(321) 622-3588
Mailing address
490 CENTRE LAKE DR NE STE 200B, PALM BAY, FL 32907-1189
(321) 784-8211
(321) 394-9425

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9219350
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ARNP 9219350
STATE LICENSE NUMBER
FL
Enumeration date
06/18/2010
Last updated
05/22/2023
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