Individual
MS. GRACE VANDYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3347 STATE ROAD 7, STE 200, WELLINGTON, FL 33449-8095
(561) 795-9087
(561) 795-4036
Mailing address
PO BOX 1602, LOXAHATCHEE, FL 33470
(561) 795-9087
(561) 795-4036
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
1704182
FL
Other
Enumeration date
05/02/2007
Last updated
05/10/2011
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