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Individual

DIANE G MAGILL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
985 SR 436, CASSELBERRY, FL 32707-5664
(407) 831-5252
(407) 831-3390
Mailing address
PO BOX 423039, KISSIMMEE, FL 34742-3039
(407) 343-5914
(407) 343-5963

Taxonomy

Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
ARNP1703462
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
306306200
FL
Enumeration date
05/08/2006
Last updated
02/20/2009
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