Individual
BERNICE PRINCE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RNFA
Contact information
Practice address
400 HEALTHPARK BLVD, ST AUGUSTINE, FL 32086
(904) 824-4990
(904) 824-2226
Mailing address
PO BOX 3123, ST AUGUSTINE, FL 32085
(904) 824-4990
(904) 824-2226
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN222082
FL
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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