Organization
FAPMC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN GRIBBON APRN (OWNER)
(919) 886-9005
Entity
Organization
Contact information
Practice address
2518 SE PINELAND DR, PORT ST LUCIE, FL 34952-8045
(919) 886-9005
Mailing address
2518 SE PINELAND DR, PORT ST LUCIE, FL 34952-8045
(919) 886-9005
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/22/2020
Last updated
05/08/2020
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