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CAMERON ALDER ARNP

Gerontology >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1609542919

Individual Registrant:
 CAMERON  ALDER ARNP
Gender: M
Not Sole Proprietor

Location and contact information for practice:
700 1ST ST S  WINTER HAVEN, FL 33880-3605 US
Tel: 863-858-8000  Fax: --

Contact information for business:
5686 OAKWOOD KNOLL DR  LAKELAND, FL 33811-1513 US
Tel: 585-465-8004  Fax: --

Registration Information:
NPI: 1609542919
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N363LG0600XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Gerontology
FLAPRN11010044
Y363LA2200XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
FLAPRN11010044

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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