Search › Florida › 172V00000X
Gaynell Livingston-Hodges, MEDICAID PROVIDER
NPI 1558526145 · on the registry since 2008 · sole proprietor
Practice
- Address
- 1320 Broad St
Suite # 202
Jacksonville, FL 32202 - Phone
- (904) 358-9487
Registry record
- Primary taxonomy
- 172V00000X
172V00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2008-07-23
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