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Individual

MRS. PENNY ANN VILLELLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RNFA, CNOR

Contact information

Practice address
2801 SE 1ST AVE, SUITE 101, OCALA, FL 34471-0408
(352) 690-6300
Mailing address
2220 SE 15TH ST, OCALA, FL 34471-2643
(352) 629-2934

Taxonomy

Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
2519822
FL

Other

Enumeration date
04/05/2012
Last updated
04/05/2012
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