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Organization
JIROMA, INC
Active
Organization
JIROMA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES CARLTON WHITED JR. ARNP, BC, LMT (PRESIDENT)
(904) 384-9007
Entity
Organization
Contact information
Practice address
1080 EDGEWOOD AVE S, SUITE 7, JACKSONVILLE, FL 32205-5393
(904) 384-9007
(904) 384-2899
Mailing address
PO BOX 380104, JACKSONVILLE, FL 32205-0604
(904) 384-9007
Taxonomy
Speciality
Code
Description
License number
State
163WR0400X
Rehabilitation Registered Nurse
9279002
FL
174H00000X
Health Educator
9279002
FL
261QM1300X
Multi-Specialty Clinic/Center
9279002
FL
363LF0000X
Family Nurse Practitioner
Primary
9279002
FL
Other
Enumeration date
09/09/2010
Last updated
06/19/2013
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