ANTHONY MARK LAQUIDARA

ORANGE PARK, FL
NPI1992313712
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: FL  APRN11008161)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: FL  APRN11008161)
Enumeration Date2020-07-17
Last Update Date2024-06-24
Business Address
ANTHONY MARK LAQUIDARA ARNP
2001 KINGSLEY AVE
ORANGE PARK, FL 32073-5148
Phone number: 912-247-2499
Mailing Address
ANTHONY MARK LAQUIDARA ARNP
5075 ORTEGA COVE CIR
JACKSONVILLE, FL 32244-3202
Phone number: 904-349-0078