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Individual

GRACE SALAGALA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

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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