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Individual

LAUREL L GAMMIE MCDONALD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
10300 SW 216TH ST, CUTLER BAY, FL 33190-1003
(300) 525-3510
(305) 254-4901
Mailing address
1454 MADISON AVE W, IMMOKALEE, FL 34142-2200
(239) 658-3707
(239) 434-2805

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
ARNP 1537942
FL
367A00000X
Advanced Practice Midwife
Primary
ARNP1537942
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
008593100
FL
Enumeration date
08/15/2006
Last updated
12/14/2018
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