NPI 1043708118
Learo Etienne
Practice location
- Address
- 3404 Avenue X NW, Winter Haven, FL 33881-1053
- Phone
- (863) 412-9775
- Fax
- (863) 582-9918
- Mailing address
- PO Box 2219, Auburndale, FL 33823-6219
Registered specialties
Driver
Primary
Registry record
- NPI
- 1043708118
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 24 Apr 2018
- Record last updated
- 24 Apr 2018
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.