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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 CareInferred 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