Individual
JAERINE ROA SUPERALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
550 WELLS RD, ORANGE PARK, FL 32073-2969
(877) 823-4283
Mailing address
7960 MERCHANTS WAY APT 6205, JACKSONVILLE, FL 32222-2950
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
03/24/2026
Last updated
03/24/2026
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