Individual
CAMILLA DAWN PACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4225 NW AMERICAN LN, LAKE CITY, FL 32055-8841
(386) 758-6141
(386) 758-6140
Mailing address
PO BOX 1092, NEWBERRY, FL 32669-1092
(352) 354-5337
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN11001596
FL
Other
Enumeration date
02/23/2019
Last updated
05/16/2022
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