Individual
FLORA FELICIA CAULEY PETILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
15 E NEWCASTLE RD, OCEAN CITY, NJ 08226-4725
(609) 602-2908
(609) 399-5301
Mailing address
1001 BRIGGS RD, SUITE 210, MOUNT LAUREL, NJ 08054-4100
(856) 231-4774
(856) 231-9699
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP003943H
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018016970001
—
PA
05
—
7702302
—
NJ
Enumeration date
08/21/2006
Last updated
03/11/2008
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