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Ammala Cantrell
Family Medicine Physician in Jacksonville, Florida
NPI 1639159684

Ammala Cantrell is a Family Medicine Physician based in Jacksonville Beach, FL. Ammala Cantrell practices in Jacksonville, FL. The NPI Number for Ammala Cantrell is 1639159684 and holds a License No. ME84833 (Florida).

The current practice location address for Ammala Cantrell is 11512 Lake Mead Ave Unit 302, Jacksonville, FL and can be reached out via phone at 904-900-3472 and via fax at 904-503-2373. You can also correspond with Ammala Cantrell through the mailing address at PO BOX 50670, JACKSONVILLE BEACH, FL - 32240-0670 (mailing address contact number: 904-673-5553).

Location: 11512 Lake Mead Ave Unit 302, Jacksonville, FL, 32240-0670
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639159684
Provider Name
Ammala Cantrell
Credential
Provider Entity Type
Individual
Gender
Female
Address
11512 Lake Mead Ave Unit 302, Jacksonville, FL, 32240-0670
Phone Number
904-900-3472
Fax Number
904-503-2373
Provider Enumeration Date
01/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
62087A 01 FL FLORIDA BLUE SHIELD
ME84833 01 FL LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
11512 Lake Mead Ave Unit 302
City
Jacksonville
State
Florida
Zip
32256-9685
Phone Number
904-900-3472
Fax Number
904-503-2373
person
Provider Business Mailing Address Details
Address
11512 Lake Mead Ave Unit 302
City
Jacksonville
State
Florida
Zip
32256-9685
Phone Number
904-900-3472
Fax Number
904-503-2373
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
ME84833 (Florida)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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