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Organization
MLA ENT FL, INC
Active
Organization
MLA ENT FL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALISON TEMPLE ADMIN (ADMINISTRATOR)
(817) 655-2164
Entity
Organization
Contact information
Practice address
12220 ATLANTIC BLVD STE 113, JACKSONVILLE, FL 32225-5826
(904) 435-4684
Mailing address
12220 ATLANTIC BLVD, JACKSONVILLE, FL 32225-5822
(904) 435-4684
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/02/2026
Last updated
02/02/2026
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