Individual
MS. ADELAIDA RULLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5600 PARKSIDE CLINIC, SUITE 101, JACKSONVILLE, FL 32216
(904) 737-5000
Mailing address
5600 PARKSIDE CLINIC, SUITE 101, JACKSONVILLE, FL 32216
(904) 737-5000
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5189272
FL
Other
Enumeration date
02/01/2022
Last updated
02/04/2022
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