SearchFlorida101YA0400X

Tony Jerry, LCDC

NPI 1144004912 · on the registry since 2023 · sole proprietor

Practice

Address
2368 Center Stone Ln
Riviera Beach, FL 33404
Phone
(713) 859-7814

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-08-24

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