Individual
INGRID VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14991 NE JACKSONVILLE RD, CITRA, FL 32113-3761
(352) 234-5777
Mailing address
14991 NE JACKSONVILLE RD, CITRA, FL 32113-3761
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2146042
FL
Other
Enumeration date
04/05/2016
Last updated
04/05/2016
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