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LAURA DEETZ ARNP

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

Registrant NPI Number: 1790287316

Individual Registrant:
 LAURA  DEETZ ARNP
Gender: F
Sole Proprietor

Location and contact information for practice:
10762 SE US HIGHWAY 441  BELLEVIEW, FL 34420-3805 US
Tel: 352-347-5225  Fax: --

Contact information for business:
10762 SE US HIGHWAY 441  BELLEVIEW, FL 34420-3805 US
Tel: 352-347-5225  Fax: 352-347-1073

Registration Information:
NPI: 1790287316
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
FLARNP9326701

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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