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Sisa K Jose
Family Nurse Practitioner in Riverview, Florida
NPI 1407368129

Sisa K Jose is a Family Nurse Practitioner based in Temple Terrace, FL and is specialized in Family. Sisa K Jose practices in Riverview, FL. The NPI Number for Sisa K Jose is 1407368129 and holds a License No. 9230604 (Florida).

The current practice location address for Sisa K Jose is 3140 S Falkenburg Rd, Riverview, FL and can be reached out via phone at 813-910-0300.

Location: 3140 S Falkenburg Rd, Riverview, FL, 33637-0935
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407368129
Provider Name
Sisa K Jose
Credential
Provider Entity Type
Individual
Gender
Female
Address
3140 S Falkenburg Rd, Riverview, FL, 33637-0935
Phone Number
813-910-0300
Fax Number
Provider Enumeration Date
11/03/2017
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8ZBR6 01 FL FLORIDA BLUE
institution
Provider Business Practice Location Address Details
Address
3140 S Falkenburg Rd
City
Riverview
State
Florida
Zip
33578-2574
Phone Number
813-910-0300
Fax Number
person
Provider Business Mailing Address Details
Address
3140 S Falkenburg Rd
City
Riverview
State
Florida
Zip
33578-2574
Phone Number
813-910-0300
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
9230604 (Florida)
Definition
Definition to come...
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