Individual
AARON BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14546 OLD SAINT AUGUSTINE RD, JACKSONVILLE, FL 32258-5468
(904) 720-0799
Mailing address
799 ASHTON LAKES BLVD, PORT ORANGE, FL 32128-6066
(386) 405-8133
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
RN9398631
FL
Other
Enumeration date
09/01/2020
Last updated
09/01/2020
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