Pellicer, Madelyn

Pellicer, Madelyn is an individual health care provider with primary practice located at 201 Health Park Blvd Ste 105 , St Augustine FL 32086-5770. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Pellicer, Madelyn can be contacted via phone (904) 824-1776.

Contact Information

Primary practice address
201 Health Park Blvd Ste 105 St Augustine FL 32086-5770
Phone: (904) 824-1776
Fax: (904) 825-1270
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 11021961 Florida

Profile Details

NPI number 1114642865
LBN Legal business name Pellicer, Madelyn
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2022
Last updated Oct 5th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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