Individual
MRS. IRENE APONTE MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
440 SW PERIMETER GLEN, LAKE CITY, FL 32025
(386) 719-9663
(866) 300-2396
Mailing address
440 SW PERIMETER GLEN, LAKE CITY, FL 32025
(386) 719-9663
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9393761
FL
363L00000X
Nurse Practitioner
RN9393761
FL
Other
Enumeration date
02/23/2016
Last updated
07/21/2022
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