Individual
ANATOLIY DAYNEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Mailing address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11012419
FL
363LA2100X
Acute Care Nurse Practitioner
11012419
FL
Other
Enumeration date
04/15/2021
Last updated
02/06/2023
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