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Individual

MRS. AMY BROWN PAUGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2700 RIVERSIDE AVE STE 2, JACKSONVILLE, FL 32205-8233
(904) 264-8801
(904) 621-0566
Mailing address
705 WELLS RD STE 300, ORANGE PARK, FL 32073-2982
(904) 282-6331
(904) 619-1080

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
ARNP9212072
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003186303A
GA
05
020086100
FL
Enumeration date
02/14/2017
Last updated
08/31/2022
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