PAULA PEACOCK

PONTE VEDRA BEACH, FL
NPI1194106005
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: FL  ARNP 9262800)
Enumeration Date2015-06-16
Last Update Date2018-12-20
Business Address
Mrs. PAULA PEACOCK ARNP
520 A1A N STE 101 ATTN: CREDENTIALING DEPARTMENT
PONTE VEDRA BEACH, FL 32082-2260
Phone number: 904-273-6900
Mailing Address
Mrs. PAULA PEACOCK ARNP
PO BOX 45443
SALT LAKE CITY, UT 84145-0443
Phone number: 904-202-1032
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