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Individual

ANDREA K SORELLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
8613 OLD KINGS RD STE 601, JACKSONVILLE, FL 32217-4807
(904) 537-6911
(888) 343-8381
Mailing address
8613 OLD KINGS RD STE 601, JACKSONVILLE, FL 32217-4807
(904) 537-6911
(888) 343-8381

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00903400
FL
Enumeration date
07/01/2013
Last updated
06/26/2023
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