Individual
MR. DWAYNE CEDRICK BYRD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MT ASCP
Contact information
Practice address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2122
Mailing address
14478 MILLHOPPER RD, JACKSONVILLE, FL 32258-3128
(904) 338-4975
Taxonomy
Speciality
Code
Description
License number
State
246QM0706X
Medical Technologist
Primary
TN36553
FL
Other
Enumeration date
11/26/2012
Last updated
11/26/2012
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