Individual
KAELICIA PLATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
476 RIVERSIDE AVE UNIT 235, JACKSONVILLE, FL 32202-4912
(954) 274-5228
Mailing address
476 RIVERSIDE AVE UNIT 235, JACKSONVILLE, FL 32202-4912
(954) 274-5228
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
07/10/2025
Last updated
07/10/2025
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