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Individual

BROOKE MOTYL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
1887 KINGSLEY AVE STE 1500, ORANGE PARK, FL 32073-4481
(904) 633-0880
Mailing address
1232 EVANSBURG RD, COLLEGEVILLE, PA 19426-1020
(843) 714-7123

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
11013698
FL
363LW0102X
Women's Health Nurse Practitioner
SP022293
PA

Other

Enumeration date
02/01/2021
Last updated
08/30/2021
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