Organization
ALGEP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER GEPHART APRN (CEO)
(228) 669-7833
Entity
Organization
Contact information
Practice address
2706 COLEWOOD LN, DOVER, FL 33527-6364
(228) 669-7833
Mailing address
2706 COLEWOOD LN, DOVER, FL 33527-6364
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/09/2024
Last updated
12/09/2024
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