Individual
MR. JERRY STEPHEN BOYETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3944 CEDAR COVE LANE, JACKSONVILLE, FL 32257
(904) 608-1077
(904) 288-7716
Mailing address
3944 CEDAR COVE LANE, JACKSONVILLE, FL 32257
(904) 608-1077
(904) 288-7716
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
02/11/2010
Last updated
02/11/2010
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