Individual
MRS. MARIA GIANNA AGUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
5618 JEREMY LN, JACKSONVILLE, FL 32257-3215
(904) 699-4936
Mailing address
5618 JEREMY LN, JACKSONVILLE, FL 32257-3215
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP9269306
FL
Other
Enumeration date
06/17/2014
Last updated
06/17/2014
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