Individual
MS. LATIA MCDANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE
Contact information
Practice address
700 BLANDING BLVD STE 13, ORANGE PARK, FL 32065-5813
(808) 482-4111
Mailing address
700 BLANDING BLVD STE 13, ORANGE PARK, FL 32065-5813
(808) 482-4111
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5234886
FL
Other
Enumeration date
10/01/2025
Last updated
10/01/2025
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