Individual
MARJORY W QUAMMIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1845 HOLSONBACK DR, DAYTONA BEACH, FL 32117-5114
(386) 274-0790
(386) 274-0800
Mailing address
PO BOX 9190, DAYTONA BEACH, FL 32120-9190
(386) 274-0790
(386) 274-0800
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
ARNP 1492332
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
301357001
—
FL
Enumeration date
03/29/2006
Last updated
12/13/2012
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