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NPI 1275108185 · on the registry since 2021 · sole proprietor

Practice

Address
731 Duval Station Rd Ste 107-20
Jacksonville, FL 32218
Phone
(904) 570-8791
Organisation at this address
Brightview Center, Llc
Access Dentistry Inc. Pa
Publix Super Markets Inc
Above & Beyond Full Circle Care
Stay For The Day Adult Day Care
Inferred from a shared address, not stated in the registry.
Clinicians at this address
12

Registry record

Primary taxonomy
376J00000X
376J00000X
Also registered as
376K00000X
376K00000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-05-24

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