| Nelly Norris, Mot, Pa | |
|
20410 10th Street Mcintosh FL 32664 | |
| (352) 208-8401 | |
| Not Available |
| Full Name | Nelly Norris, Mot, Pa |
|---|---|
| Speciality | Clinic/center |
| Location | 20410 10th Street, Mcintosh, Florida |
| Authorized Official Name and Position | Nelly Norris (PRESIDENT) |
| Authorized Official Contact | 3522088401 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nelly Norris, Mot, Pa 5650 Nw 189th Pl Reddick FL 32686-2565 Ph: (352) 208-8401 | Nelly Norris, Mot, Pa 20410 10th Street Mcintosh FL 32664 Ph: (352) 208-8401 |
| NPI Number | 1790348308 |
|---|---|
| Provider Enumeration Date | 04/18/2019 |
| Last Update Date | 04/18/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790348308 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |