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Individual

AMILA GAZIBARA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
2151 RIVERSIDE AVE, JACKSONVILLE, FL 32204-4416
(904) 388-8686
(904) 388-4445
Mailing address
2151 RIVERSIDE AVE, JACKSONVILLE, FL 32204-4416
(904) 388-8686
(904) 388-4445

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN11018668
FL

Other

Enumeration date
09/02/2022
Last updated
09/02/2022
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