MICHAEL NATHAN PEDDYCOART
License Number: APRN9227732
Data As Of 5/31/2024
| Profession | Advanced Practice Registered Nurse | |
|---|---|---|
| License | APRN9227732 | |
| License Status | CLEAR/Active | |
| Qualifications | Autonomous Practice APRN | Nurse Practitioner |
| License Expiration Date | 7/31/2026 | |
| License Original Issue Date | 06/30/2015 | |
| Address of Record | 870 Enclave at Harden Circle | |
| LAKELAND, FL 33813 | ||
| Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain) | No | |
| Discipline on File | No | |
| Public Complaint | No |
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