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Jerelyne Idica
NPI 1992331151 · on the registry since 2020 · sole proprietor
Practice
- Address
- 7801 Point Meadows Dr Unit 1102
Jacksonville, FL 32256 - Phone
- (973) 931-6186
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 225X00000X
225X00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-09-21
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