Individual
NAGELINE ISIDORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
518 SW PRIMA VISTA BLVD, PORT ST LUCIE, FL 34983-8734
(954) 558-1829
Mailing address
518 SW PRIMA VISTA BLVD, PORT ST LUCIE, FL 34983-8734
(954) 558-1829
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/15/2024
Last updated
02/15/2024
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