Individual
MR. GARRETT LEVI AMBUEHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGPCNP-C
Contact information
Practice address
1401 RIVERPLACE BLVD APT 1602, JACKSONVILLE, FL 32207-9095
(618) 267-0160
Mailing address
1401 RIVERPLACE BLVD APT 1602, JACKSONVILLE, FL 32207-9095
(618) 267-0160
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
11025517
FL
Other
Enumeration date
07/25/2023
Last updated
07/25/2023
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