Individual
MRS. AGATA NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM
Contact information
Practice address
910 S 8TH ST, SUITE 100, FERNANDINA BEACH, FL 32034-3744
(904) 875-4278
(904) 572-1571
Mailing address
910 S 8TH ST, SUITE 100, FERNANDINA BEACH, FL 32034-3744
(904) 875-4278
(904) 572-1571
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
305
FL
Other
Enumeration date
01/22/2015
Last updated
01/22/2015
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