SearchFlorida183500000X

Jie Song

NPI 1639779036 · on the registry since 2020 · sole proprietor

Practice

Address
10991 San Jose Blvd
Jacksonville, FL 32223
Phone
(904) 260-4407
Fax
(904) 880-8945
Organisation at this address
Mc Medical Llc
Wh Fl Dental Pllc
David & Associates
First Coast Fs, Llc
Wal-Mart Stores East, Lp
Inferred from a shared address, not stated in the registry.
Clinicians at this address
10

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-10-27

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