SHANTELL POLIDOR

JACKSONVILLE, FL
NPI1770233579
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: FL  APRN11018822)
Enumeration Date2022-03-25
Last Update Date2022-03-25
Business Address
Mrs. SHANTELL POLIDOR APRN
5752 ROVER DR
JACKSONVILLE, FL 32244-1430
Phone number: 904-713-7428
Mailing Address
Mrs. SHANTELL POLIDOR APRN
5752 ROVER DR
JACKSONVILLE, FL 32244-1430
Phone number: 904-713-7428