Individual
ADELINE MARCELLUS AIME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5970 WILLOWS BRIDGE LOOP, ELLENTON, FL 34222-5217
(239) 878-8642
Mailing address
1631 HEATHERMOOR WAY, DACULA, GA 30019-7252
(239) 878-8642
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11034691
FL
Other
Enumeration date
08/16/2024
Last updated
08/16/2024
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