Individual
BRENDA LIZETTE GARCIA DORIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
653 W 8TH ST, JACKSONVILLE, FL 32209-6511
(904) 244-0411
Mailing address
4320 ELLIPSE DR, JACKSONVILLE, FL 32246-7448
(904) 772-4945
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11031887
FL
Other
Enumeration date
03/22/2024
Last updated
09/23/2024
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