THERESA M DOMAGOLA

JACKSONVILLE, FL
NPI1184676322
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: FL  11002747)
Additional Taxonomies363LA2100X Nurse Practitioner, Acute Care
(Licence: NY  430210)
Enumeration Date2006-05-16
Last Update Date2024-06-24
Business Address
THERESA M DOMAGOLA ACNP-BC, PMHNP-BC
15255 MAX LEGGETT PKWY STE 3600
JACKSONVILLE, FL 32218-7279
Phone number: 904-427-6895
Mailing Address
THERESA M DOMAGOLA ACNP-BC, PMHNP-BC
15255 MAX LEGGETT PKWY STE 3600
JACKSONVILLE, FL 32218-7279
Phone number: 904-427-6895