Individual
MRS. ALICIA POOL HANLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
612 S MAIN AVE, GROVELAND, FL 34736-2732
(352) 409-4782
Mailing address
612 S MAIN AVE, GROVELAND, FL 34736-2732
(352) 409-4782
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
9308692
FL
Other
Enumeration date
08/17/2016
Last updated
04/30/2018
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