Individual
TAKEIA GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13760 FISH EAGLE DR W, JACKSONVILLE, FL 32226-5002
(904) 352-3601
Mailing address
13760 FISH EAGLE DR W, JACKSONVILLE, FL 32226-5002
(904) 352-3601
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
FL
Other
Enumeration date
12/18/2025
Last updated
12/18/2025
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