Individual
ANNIE LAURA DYKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
213 SW THIRD AVE, MADISON, FL 32340
(850) 973-5000
Mailing address
213 SW THIRD AVE, MADISON, FL 32340
(850) 973-5000
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
9273202
FL
Other
Enumeration date
01/07/2019
Last updated
01/07/2019
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