Jacksonville Florida North, Pllc
NPI #1982414066 in Jacksonville, Florida
Provider Information
- NPI Number
- 1982414066
- Entity Type
- Organization
- Organization Name
- Jacksonville Florida North, Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 10, 2025
- Last Updated
- Jan 10, 2025
Practice Location
- Address
- 651 NAUTICA DR UNIT 1
- City
- Jacksonville
- State
- Florida
- ZIP Code
- 32218-7222
- Phone
- (904) 423-4014
Authorized Official
- Name
- KIA WILLIAMS
- Title
- PROVIDER ENROLLMENT TEAM LEAD
- Phone
- (315) 454-6000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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