Individual
CALLIE MARIE PAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
340 NW COMMERCE DR, LAKE CITY, FL 32055-4709
(386) 719-9000
Mailing address
6200 S COUNTY ROAD 125, MACCLENNY, FL 32063-5406
(904) 885-3056
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
11034437
FL
Other
Enumeration date
08/01/2024
Last updated
08/01/2024
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