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GEORGIA WARREN AGRAIT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
8401 N CENTURY BLVD, CENTURY, FL 32535
(850) 256-5314
(850) 256-4433
Mailing address
PO BOX 399, CENTURY, FL 32535-0399
(850) 256-5314
(850) 256-4433

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP1773502
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
307632600
FL
Enumeration date
08/09/2006
Last updated
05/02/2018
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