MAGNOLIA ADULT

LAKE CITY, FL
NPI1033477567
Entity TypeOrganization
Authorized ContactIRA D LEE
President
386-755-3300
Organization Subpart ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: FL  ARNP3091702)
Enumeration Date2012-05-03
Last Update Date2012-05-03
Business Address
MAGNOLIA ADULT
1140 SW BASCOM NORRIS DR STE 105
LAKE CITY, FL 32025-1329
Phone number: 386-755-3300
Mailing Address
MAGNOLIA ADULT
1140 SW BASCOM NORRIS DR STE 105
LAKE CITY, FL 32025-1329
Phone number: 386-755-3300