Individual
DIANE GELLERMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
4645 CLYDE MORRIS BLVD STE 408, PORT ORANGE, FL 32129-3005
(386) 295-6601
(386) 492-1174
Mailing address
4645 CLYDE MORRIS BLVD STE 408, PORT ORANGE, FL 32129-3005
(386) 690-5343
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9230757
FL
Other
Enumeration date
02/10/2016
Last updated
03/29/2021
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