GERISOURCE

JACKSONVILLE, FL
NPI1871894972
Entity TypeOrganization
Authorized ContactANDREA H CLAYMAN
President
904-252-5265
Organization Subpart ?No
Primary Taxonomy363LG0600X Nurse Practitioner, Gerontology
(Licence: FL  9260038)
Enumeration Date2010-11-06
Last Update Date2010-11-06
Business Address
GERISOURCE
11812 CRUSSELLE DR
JACKSONVILLE, FL 32223-0876
Phone number: 904-252-5265
Mailing Address
GERISOURCE
11812 CRUSSELLE DR
JACKSONVILLE, FL 32223-0876
Phone number: 904-252-5265