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1215403571
GEMINI COASTAL LLC
OCALA, FL
NPI
1215403571
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Entity Type
Organization
Authorized Contact
BARBARA M MADISON
Nurse Practitioner
352-804-0938
Organization Subpart ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
Enumeration Date
2018-10-15
Last Update Date
2019-04-25
Business Address
GEMINI COASTAL LLC
1431 SW 1ST AVE
OCALA, FL 34471-6500
Phone number: 352-804-0938
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Mailing Address
GEMINI COASTAL LLC
PO BOX 1413
OCALA, FL 34478-1413
Phone number: 352-804-0938
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