Individual
LACEY VATLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1155 35TH LN STE 201A, VERO BEACH, FL 32960-6537
(772) 562-5662
Mailing address
10140 CENTURION PKWY N, JACKSONVILLE, FL 32256-0532
(904) 697-4100
(904) 697-5102
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
APRN11027159
FL
Other
Enumeration date
06/12/2023
Last updated
07/05/2023
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