Individual
LAURA ANN KERECZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1 SHIRCLIFF WAY, JACKSONVILLE, FL 32204-4748
(904) 308-7300
Mailing address
22086 NW 80TH AVE, STARKE, FL 32091-8798
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
9357634
FL
Other
Enumeration date
09/30/2019
Last updated
09/30/2019
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