Individual
TUNISA GORDON-DONELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3859 SW 100TH ST, OCALA, FL 34476-4191
(352) 512-7527
Mailing address
3859 SW 100TH ST, OCALA, FL 34476-4191
(352) 512-7527
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
261QD1600X
—
FL
Enumeration date
01/20/2021
Last updated
01/20/2021
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