Individual
JITZELY ALCANTARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
655 W 8TH ST # C-72, JACKSONVILLE, FL 32209-6511
(904) 244-3237
Mailing address
655 W 8TH ST # C-72, JACKSONVILLE, FL 32209-6511
(904) 244-3237
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
OS21851
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2021
Last updated
04/15/2025
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