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Individual

DONNA J SHOUDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, ARNP

Contact information

Practice address
101 S. NEWELL DRIVE, GAINESVILLE, FL 32611
(352) 548-1101
(352) 273-6536
Mailing address
PO BOX 100197, GAINESVILLE, FL 32610-0197
(352) 548-1101
(352) 273-6536

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
1083012
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
303057100
FL
Enumeration date
12/05/2005
Last updated
06/02/2008
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