Individual
CHARITA BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1225 W BEAVER ST STE 120, JACKSONVILLE, FL 32204-1415
(904) 648-6100
(904) 648-6300
Mailing address
1225 W BEAVER ST STE 120, JACKSONVILLE, FL 32204-1415
(904) 648-6100
(904) 648-6300
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172A00000X
Driver
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
09/07/2021
Last updated
09/07/2021
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