person
Rylie Jo Ertl
Medical Physician Assistant in Gainesville, Florida
NPI 1639838337

Rylie Jo Ertl is a Medical Physician Assistant based in Gainesville, FL and is specialized in Medical. Rylie Jo Ertl practices in Gainesville, FL. The NPI Number for Rylie Jo Ertl is 1639838337 and holds a License No. PA9115340 (Florida).

The current practice location address for Rylie Jo Ertl is 6716 Nw 11Th Pl Ste 200, Gainesville, FL and can be reached out via phone at 352-313-6825 and via fax at 352-333-0990.

Location: 6716 Nw 11Th Pl Ste 200, Gainesville, FL, 32605-4201
person
Provider Profile Details
NPI Number
1639838337
Provider Name
Rylie Jo Ertl
Credential
Provider Entity Type
Individual
Gender
Female
Address
6716 Nw 11Th Pl Ste 200, Gainesville, FL, 32605-4201
Phone Number
352-313-6825
Fax Number
352-333-0990
Provider Enumeration Date
12/10/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9TUAK 01 FL BCBS
1132746-00 05 FL
institution
Provider Business Practice Location Address Details
Address
6716 Nw 11Th Pl Ste 200
City
State
Zip
32605-4201
Phone Number
352-313-6825
Fax Number
352-333-0990
person
Provider Business Mailing Address Details
Address
6716 Nw 11Th Pl Ste 200
City
State
Zip
32605-4201
Phone Number
352-313-6825
Fax Number
352-333-0990
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA9115340 (Florida)
Definition
Definition to come...
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