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ELI BILLETER

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

Registrant NPI Number: 1063817948

Individual Registrant:
 ELI  BILLETER 
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: --

Contact information for business:
128 MOULTRIE CROSSING LN  SAINT AUGUSTINE, FL 32086-5242 US
Tel: 904-819-5155  Fax: --

Registration Information:
NPI: 1063817948
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
FLARNP9192714

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS FL - Page 1



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