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Individual

ALICIA TRUITT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
12901 BRUCE B DOWNS BLVD, TAMPA, FL 33612-4742
(813) 259-8841
Mailing address
PO BOX 917770, ORLANDO, FL 32891-7770

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP2944862
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
Y002G
BLUE CROSS BLUE SHIELD
FL
Enumeration date
08/05/2006
Last updated
02/13/2008
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