Individual
DR. DIANA LYNN SPROUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
1536 N JEFFERSON ST, JACKSONVILLE, FL 32209-6525
(904) 475-5800
Mailing address
12502 SUN PALM DR, JACKSONVILLE, FL 32225-5835
(616) 250-0286
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS47535
FL
Other
Enumeration date
07/07/2011
Last updated
10/28/2015
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