Individual
GLADYS YAMILCA FONTANEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
4798 SW 134TH LOOP, OCALA, FL 34473-7868
(352) 433-6952
Mailing address
4798 SW 134TH LOOP, OCALA, FL 34473-7868
(352) 433-6952
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11012335
FL
Other
Enumeration date
04/05/2021
Last updated
04/14/2021
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