Healthcare Provider Details

I. General information

NPI: 1255889580
Provider Name (Legal Business Name): GUILAINE GABRIEL-PERCINTHE ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2016
Last Update Date: 01/26/2023
Certification Date: 01/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

717 SW MARTIN LUTHER KING JR AVE
OCALA FL
34471
US

IV. Provider business mailing address

717 SW MARTIN LUTHER KING JR AVE
OCALA FL
34471
US

V. Phone/Fax

Practice location:
  • Phone: 352-291-5555
  • Fax: 352-565-7535
Mailing address:
  • Phone: 352-291-5555
  • Fax: 352-565-7535

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number26NJ00732000
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP 9210920
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN9210920
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: