SHIRLEY A ICE MD PA
Marriage and Family Therapists at Pennsylvania Ave, Dunnellon, FL

License number
Florida ME0071113
Category
Osteopathic Medicine
Type
Family Medicine
Owner
Name: SHIRLEY A ICE MD
Title: PRESIDENT
Phone: (352) 465-2449
Address
Address
19204 E Pennsylvania Ave, Dunnellon, FL 34432
National Provider ID: 1720249410
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Shirley A. Ice, M.D., PA

19204 E Pennsylvania Ave, Dunnellon, FL 34432

Status:
Inactive
Registration:
Jul 22, 1997
State ID:
P97000063092
Business type:
Domestic for Profit Corporation
Director:
Shirley A. Ice Director, inactive

Marriage and Family Therapists licenses in Florida


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