Individual
IDA PRINGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3061 SW 177TH LANE RD, OCALA, FL 34473-4507
(407) 920-9197
Mailing address
3061 SW 177TH LANE RD, OCALA, FL 34473-4507
(407) 920-9197
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
239350
FL
376J00000X
Homemaker
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118847400
—
FL
Enumeration date
01/10/2023
Last updated
09/13/2023
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