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Search › Florida › Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Tina Bristol

NPI 1346994845 · on the registry since 2022 · sole proprietor

Practice

Address
4455 Ish Brant Rd W
Jacksonville, FL 32210
Phone
(904) 377-6612
Clinicians at this address
2

Registry record

Primary taxonomy
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
320900000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-02-04

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