Individual
ASHLEY STORY BOURNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1149 NEWELL DR L4-100, GAINESVILLE, FL 32611-2701
(352) 294-4900
Mailing address
PO BOX 100256 1149 NEWELL DR L4-100, GAINESVILLE, FL 32611-0001
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
9832
FL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/15/2024
Last updated
06/05/2025
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