Individual
SHERIDAN PRIMACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1515 SW ARCHER RD, GAINESVILLE, FL 32608-1134
(352) 265-0111
Mailing address
5720 NW 57TH WAY, GAINESVILLE, FL 32653-3226
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
ARNP9279542
FL
363LA2100X
Acute Care Nurse Practitioner
Primary
ARNP9279542
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016832400
—
FL
Enumeration date
02/25/2016
Last updated
04/21/2016
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