Search › Florida › 106S00000X
Madeline Nieto-Lacey
NPI 1417744194 · on the registry since 2025 · sole proprietor
Practice
- Address
- 1725 Art Museum Dr
Jacksonville, FL 32207 - Phone
- (904) 379-6045
- Fax
- (904) 301-4741
- Clinicians at this address
- 9
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-04-24
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