Individual
TANIA CRISTINA DE JESUS BRADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2316 LAKEVIEW ST, LAKELAND, FL 33801-2553
(863) 709-4445
Mailing address
2316 LAKEVIEW ST, LAKELAND, FL 33801-2553
(863) 709-4445
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
11024842
FL
Other
Enumeration date
04/10/2024
Last updated
04/10/2024
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