Individual
MS. ALYSSA M. GROAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SFIDC
Contact information
Practice address
3694 ALTA LAKES BLVD, JACKSONVILLE, FL 32226-2185
(904) 270-3806
Mailing address
PO BOX 280046, JACKSONVILLE, FL 32228-0046
(904) 270-3806
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
09/28/2015
Last updated
09/26/2023
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