Individual
FLORE ETIENNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6210 NW HACIENDA LN, PORT SAINT LUCIE, FL 34986-3810
(954) 665-0222
Mailing address
6210 NW HACIENDA LN, PORT SAINT LUCIE, FL 34986-3810
(954) 665-0222
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
111001
FL
Other
Enumeration date
08/27/2017
Last updated
07/21/2022
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