SearchFlorida106S00000X

Theodore Bjornson

NPI 1407687528 · on the registry since 2024 · sole proprietor

Practice

Address
782 Foxridge Center Dr
Orange Park, FL 32065
Phone
(904) 637-1400
Organisation at this address
Licini Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
40

Registry record

Primary taxonomy
106S00000X
106S00000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-08-10

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