Individual
SEASON MANUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4400 E HIGHWAY 20 STE 313, NICEVILLE, FL 32578-7700
(850) 797-2598
(850) 807-5127
Mailing address
24555 US HIGHWAY 331 S UNIT E306, SANTA ROSA BEACH, FL 32459-6199
(901) 334-7378
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11026619
FL
Other
Enumeration date
06/02/2023
Last updated
06/02/2023
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