Individual
JAIME AVILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
221 VANDERFORD RD W, ORANGE PARK, FL 32073-5962
(904) 310-8841
Mailing address
221 VANDERFORD RD W, ORANGE PARK, FL 32073-5962
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
—
—
Other
Enumeration date
09/27/2025
Last updated
09/27/2025
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