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Individual

JULIA PEACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 265-8940
Mailing address
PO BOX 13833, PHILADELPHIA, PA 19101-3833
(352) 265-8940

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9367635
FL
363LA2200X
Adult Health Nurse Practitioner
SP009086
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010387400
FL
Enumeration date
08/29/2006
Last updated
01/07/2016
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