Individual
GRACE SALAGALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1396 WHISPER CIR, SEBRING, FL 33870-1204
(863) 385-1244
(863) 385-6086
Mailing address
PO BOX 102222, ATLANTA, GA 30368-2222
(239) 274-8200
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN11003289
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104451000
—
FL
01
—
KSHWX
BCBS
FL
01
—
LV884
MEDICARE
FL
Enumeration date
10/02/2019
Last updated
06/24/2025
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