Organization
AMELIA ISLAND SENIOR WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL GRUBER NP (OWNER)
(804) 543-3724
Entity
Organization
Contact information
Practice address
2782 PARK SQUARE PL E, FERNANDINA BEACH, FL 32034-8933
(804) 543-3724
(904) 601-1495
Mailing address
2782 PARK SQUARE PL E, FERNANDINA BEACH, FL 32034-8933
(804) 543-3724
(904) 601-1495
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/21/2024
Last updated
10/21/2024
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