Individual
AUBREY MCNEALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1365 E MCDONALD AVE, EUSTIS, FL 32726-3829
(352) 631-1545
Mailing address
1365 E MCDONALD AVE, EUSTIS, FL 32726-3829
(352) 631-1545
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
237495
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
237495
AHCA LICENSE NUMBER
—
Enumeration date
04/09/2021
Last updated
04/09/2021
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