AMMALA CANTRELL

JACKSONVILLE, FL
NPI1639159684
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: FL  ME84833)
Enumeration Date2006-01-18
Last Update Date2018-04-09
Business Address
AMMALA CANTRELL
11512 LAKE MEAD AVE UNIT 302
JACKSONVILLE, FL 32256-9685
Phone number: 904-900-3472
Mailing Address
AMMALA CANTRELL
PO BOX 50670
JACKSONVILLE BEACH, FL 32240-0670
Phone number: 904-673-5553
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