Individual
KERI LYNN SOUTHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 265-4357
Mailing address
PO BOX 918025, ORLANDO, FL 32891-8025
(352) 265-4357
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9263555
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009434800
—
FL
Enumeration date
05/28/2013
Last updated
10/02/2013
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