Individual
MS. ADELINA GEORGINA BOATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3027 SAN DIEGO RD, JACKSONVILLE, FL 32207-3691
(904) 493-7744
Mailing address
3027 SAN DIEGO RD, JACKSONVILLE, FL 32207-3691
(904) 401-1405
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
S
—
FL
Enumeration date
03/23/2019
Last updated
05/02/2025
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