Most Relevant Information
Provider Data
| NPI Number: | 1003576752 |
| Provider Name: | SANDRIE ROSE DIEUJUSTE |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0200X |
| Specialty: | Nurse Practitioner |
| License Number: | 11007142 |
Most Important Dates
| Enumeration Date: | 12/22/2021 |
| Last Updated: | 12/22/2021 |
Provider Practice Location
1600 SW ARCHER RD
GAINESVILLE
FL
326103003
Practice Location Phone/Fax
| Phone: | 3522650045 |
| Fax: |
Provider Mailing Location
1600 SW ARCHER RD
GAINESVILLE
FL
326103003
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |