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ELI BILLETER
Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1063817948
Individual Registrant: ELI BILLETER
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
128 MOULTRIE CROSSING LN SAINT AUGUSTINE, FL 32086-5242 US
Tel: 904-819-5155 Fax: --
Tel: 904-819-5155 Fax: --
Contact information for business:
128 MOULTRIE CROSSING LN SAINT AUGUSTINE, FL 32086-5242 US
Tel: 904-819-5155 Fax: --
Tel: 904-819-5155 Fax: --
Registration Information:
NPI: 1063817948
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family | FL | ARNP9192714 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
