Individual
KRISTIN GRECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
401 PALMETTO ST, NEW SMYRNA BEACH, FL 32168-7322
(386) 424-5020
Mailing address
5804 NOB HILL BLVD, PORT ORANGE, FL 32127-5801
(386) 366-1169
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
9466492
FL
Other
Enumeration date
10/07/2019
Last updated
10/07/2019
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