AMMALA CANTRELL

Family Medicine

Active Individual
NPI: 1639159684

Practice Address

11512 LAKE MEAD AVE UNIT 302
Jacksonville, FL 32256

Phone: (904) 900-3472

Specialties

Specialty Code Primary License
Family Medicine 207Q00000X Yes ME84833 (FL)

Frequently Asked Questions

NPI 1639159684 is the National Provider Identifier for AMMALA CANTRELL, a Family Medicine provider located in Jacksonville, FL. This NPI was enumerated on January 18, 2006.
AMMALA CANTRELL practices at 11512 LAKE MEAD AVE UNIT 302, Jacksonville, FL 32256.

Quick Facts

NPI
1639159684
Type
Individual
Enumerated
Jan 18, 2006
Last Updated
Apr 9, 2018

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