Organization
SUSAN BOCOCK RYALS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN BOCOCK RYALS (ADVANCED NURSE PRACTITIONER)
(352) 392-1161
Entity
Organization
Contact information
Practice address
1 FLETCHER DR, SHCC,, GAINESVILLE, FL 32611-7500
(352) 392-1161
(352) 846-1089
Mailing address
8303 SW 152ND AVE, ARCHER, FL 32618-4462
(352) 495-9085
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
616462
FL
Other
Enumeration date
04/05/2006
Last updated
08/22/2020
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