Pellicer, Madelyn

Pellicer, Madelyn is an individual health care provider with primary practice located at 201 Health Park Blvd Ste 105 , St Augustine FL 32086-5770. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Pellicer, Madelyn can be contacted via phone (904) 824-1776.

Contact Information

Primary practice address

201 Health Park Blvd Ste 105 St Augustine FL 32086-5770

Phone: (904) 824-1776

Fax: (904) 825-1270

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health	363LA2200X	11021961	Florida

Profile Details

NPI number	1114642865
LBN Legal business name	Pellicer, Madelyn
Credentials	Advanced Practice Registered Nurse (APRN)
Entity	Individual
Sole proprietor ¹	No
Enumeration date	Oct 5th, 2022
Last updated	Oct 5th, 2022 - about 4 years ago

¹ A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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