SearchFlorida363LA2200X

Dianne Lavelle, APN

NPI 1184974438 · on the registry since 2012

Practice

Address
5201 Gate Pkwy
Jacksonville, FL 32256
Phone
(904) 645-4060
Organisation at this address
Premise Health Of Florida Medical Pa
Inferred from a shared address, not stated in the registry.

Additional practice sites

  • 4181 Tradewinds Dr, Jacksonville, FL
  • 4181 Tradewinds Dr, Jacksonville, FL
  • 820 A1a N Ste E17, Ponte Vedra, FL
  • 14000 Citicards Way # A140a, Jacksonville, FL

Registry record

Primary taxonomy
363LA2200X
363LA2200X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-10-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida