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Individual

MS. MARGARET A GANNAWAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
3901 UNIVERSITY BLVD S STE 221, JACKSONVILLE, FL 32216-4392
(904) 423-0010
(904) 423-0012
Mailing address
3901 UNIVERSITY BLVD S STE 221, JACKSONVILLE, FL 32216-4392
(904) 423-0010
(904) 423-0012

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP1330482
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
023666600
FL
Enumeration date
07/10/2006
Last updated
04/17/2018
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