Individual
MARIA DE LOS ANGELES CERVANTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1536 N JEFFERSON ST, JACKSONVILLE, FL 32209-6525
(904) 475-5800
Mailing address
146 SERVIA DR, SAINT JOHNS, FL 32259-2229
(703) 300-8905
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
11012977
FL
363LG0600X
Gerontology Nurse Practitioner
11012977
FL
Other
Enumeration date
09/27/2021
Last updated
08/30/2022
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