Sulema Garcia Requejo
Nurse Practitioner, Family in Tampa, FL. Individual provider (NPI-1).
NPI number1649986167
StatusActive
Last updated in NPPESJan 27, 2023
Details
- NPI
- 1649986167
- Entity type
- Individual (NPI-1)
- Name
- Sulema Garcia Requejo
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 27, 2023
- Certification date
- Jan 27, 2023
- Last updated
- Jan 27, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 11023348 | FL | Yes |
Practice location
6806 Longpointe WayTampa, FL 33615-5821
Phone 813-475-2410
Mailing address
6806 Longpointe WayTampa, FL 33615-5821
Phone 813-475-2410
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