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Contact Information

ADVANCED PRACTICE MEDICAL ASSOCIATES PLLC
1301 BLACK BEAR RANCH TR
PIERSON, FL32180-2682
 Phone: 386-749-0750
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for ADVANCED PRACTICE MEDICAL ASSOCIATES PLLC · (Female)

NPI # 1194837955
Status Active
Credentials
Entity Individual
Enumeration date 08/31/2006
Last updated 06/21/2018 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL License # 1258442
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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