Individual
AGATHA O'CONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 SHIRCLIFF WAY, JACKSONVILLE, FL 32204-4748
(904) 308-7300
Mailing address
3129 W FAIRWOOD LN, JACKSONVILLE, FL 32205-6050
(904) 327-4400
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
9253313
FL
Other
Enumeration date
01/26/2017
Last updated
01/26/2017
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