Organization
SKILLED NURSING INFECTIOUS DISEASE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMMALA CANTRELL MD (OWNER/MANAGER)
(904) 673-5553
Entity
Organization
Contact information
Practice address
6817 SOUTHPOINT PARKWAY #801, JACKSONVILLE, FL 32216
(904) 537-3765
(904) 641-1017
Mailing address
PO BOX 23338, JACKSONVILLE, FL 32241
(904) 673-5553
(904) 641-1017
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Enumeration date
09/12/2023
Last updated
09/12/2023
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