Individual
MICHELLE LYNN PACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4327 NE 11TH ST, OCALA, FL 34470-2024
(352) 875-7906
Mailing address
4327 NE 11TH ST, OCALA, FL 34470-2024
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
RN9226861
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000126700
—
FL
Enumeration date
05/13/2008
Last updated
03/10/2009
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