Individual
BARTHOLOMEW NDIFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1255 LILA ST, JACKSONVILLE, FL 32208-3550
(904) 383-1001
(904) 383-1991
Mailing address
8274 BAYBERRY RD, JACKSONVILLE, FL 32256-7470
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11015190
FL
Other
Enumeration date
09/20/2021
Last updated
03/02/2023
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