Individual
MRS. GLADYS ELENA HATEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
836 PRUDENTIAL DR STE 802, JACKSONVILLE, FL 32207-8335
(904) 202-8290
(904) 202-8171
Mailing address
PO BOX 44047, JACKSONVILLE, FL 32231-4047
(904) 376-3240
(904) 391-5075
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11007713
FL
Other
Enumeration date
06/25/2020
Last updated
08/06/2020
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