SearchFlorida376J00000X

Alicia Wade

NPI 1396404844 · on the registry since 2021 · sole proprietor

Practice

Address
2032 Whitner St
Jacksonville, FL 32209
Phone
(352) 256-2861

Registry record

Primary taxonomy
376J00000X
376J00000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-05-20

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