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Individual

MS. JUDITH KAREN SOFFLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
555 STOCKTON STREET, JAX, FL 32204
(904) 387-4661
Mailing address
4045 MIZNER CIRCLE SOUTH, JAX, FL 32217
(904) 448-8613

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
2556802
FL
363LF0000X
Family Nurse Practitioner
2556802
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2556802
FL

Other

Enumeration date
09/06/2007
Last updated
09/06/2007
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