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Organization

ADVANCED PRACTITIONERS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. CARMEN REGINA GALDA A.R.N.P. (A.R.N.P.)
(352) 346-5949
Entity
Organization

Contact information

Practice address
26 E LIBERTY ST, BROOKSVILLE, FL 34601-2910
(352) 848-3068
(352) 848-3058
Mailing address
PO BOX 36, BROOKSVILLE, FL 34605-0036
(352) 346-5949
(352) 848-3058

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
302677900
FL
Enumeration date
09/30/2007
Last updated
04/20/2016
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