Individual
HERMAN BRACE DERESMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
52 UNDERWOOD ST, ORLANDO, FL 32806-1110
(321) 841-8727
(321) 841-4085
Mailing address
52 UNDERWOOD ST, ORLANDO, FL 32806-1110
(321) 841-8727
(321) 841-4085
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN9302764
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN9302764
FL
363LF0000X
Family Nurse Practitioner
APRN9302764
FL
Other
Enumeration date
05/11/2017
Last updated
05/07/2024
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