GRACE PEDIATRICS PL

Pediatric Nurse Practitioner

NPI: 1720362429Organization

Specialties, Licenses & Credentials

Pediatric Nurse PractitionerPrimary

Nurse Practitioner — Pediatrics

Code: 363LP0200X

9220069(FL)2667852(FL)

Contact & Hours

Address: 4196 W US HIGHWAY 90, SUITE 105
LAKE CITY, FL 32055
Phone: (386) 243-8474

Quick Facts

NPI: 1720362429
Entity Type: Organization
Medicare: Not confirmed
Specialties: 2
Locations: 1

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