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Individual

GISELLE PONCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5210 WEBB RD, TAMPA, FL 33615-4518
(813) 882-9986
(813) 882-9849
Mailing address
510 N ROME AVE UNIT 237, TAMPA, FL 33606-1316
(813) 786-0888

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11023926
FL
363LF0000X
Family Nurse Practitioner
APRN11023926
FL

Other

Enumeration date
04/19/2021
Last updated
07/23/2024
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