Individual
CHARLES E JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4123 BROAD CREEK LN, JACKSONVILLE, FL 32218-9189
(904) 710-5505
Mailing address
4123 BROAD CREEK LN, JACKSONVILLE, FL 32218-9189
(904) 710-5505
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
05/30/2019
Last updated
05/30/2019
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