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Jessica Braddock
NPI 1124340351 · on the registry since 2010
Practice
- Address
- 4495 Roosevelt Blvd
Suite #317
Jacksonville, FL 32210 - Phone
- (904) 384-4415
- Fax
- (904) 384-4212
- Organisation at this address
- Publix Super Markets Inc
Kids First Dentistry,Inc
Luxottica Of America Inc.
Dr. Ted Brinks & Associates
Jila J.Mahajan, D.D.S.L.L.CInferred from a shared address, not stated in the registry. - Clinicians at this address
- 13
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2010-02-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida