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Devora Dionne Fedrick
Primary Care Nurse Practitioner in Riverview, Florida
NPI 1699251959

Devora Dionne Fedrick is a Primary Care Nurse Practitioner based in Riverview, FL and is specialized in Primary Care. Devora Dionne Fedrick practices in Riverview, FL. The NPI Number for Devora Dionne Fedrick is 1699251959 and holds a License No. ARNP9411595 (Florida).

The current practice location address for Devora Dionne Fedrick is 3140 S Falkenburg Rd, Riverview, FL and can be reached out via phone at 813-660-7150.

Location: 3140 S Falkenburg Rd, Riverview, FL, 33578-2574
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699251959
Provider Name
Devora Dionne Fedrick
Credential
Provider Entity Type
Individual
Gender
Female
Address
3140 S Falkenburg Rd, Riverview, FL, 33578-2574
Phone Number
813-660-7150
Fax Number
Provider Enumeration Date
07/19/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3140 S Falkenburg Rd
City
Riverview
State
Florida
Zip
33578-2574
Phone Number
813-660-7150
Fax Number
person
Provider Business Mailing Address Details
Address
3140 S Falkenburg Rd
City
Riverview
State
Florida
Zip
33578-2574
Phone Number
813-660-7150
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
363LP2300X
License No.
ARNP9411595 (Florida)
Definition
Definition to come...
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