Organization
DR. MARY'S PLACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CARA MARIE D'AMICO C-PNP, ARNP (PEDIATRIC ARNP)
(904) 642-6100
Entity
Organization
Contact information
Practice address
4051 ATLANTIC BLVD, JACKSONVILLE, FL 32207-2036
(904) 393-4700
(904) 493-9700
Mailing address
4051 ATLANTIC BLVD, JACKSONVILLE, FL 32207-2036
(904) 393-4700
(904) 493-9700
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP9271693
FL
Other
Enumeration date
12/10/2009
Last updated
04/29/2011
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