Individual
RODDRICK GRAYLIN BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5820 NORMANDY BLVD, JACKSONVILLE, FL 32205-6253
(904) 786-6047
(904) 786-6436
Mailing address
5820 NORMANDY BLVD, JACKSONVILLE, FL 32205-6253
(904) 786-6047
(904) 786-6436
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
B650727790980
FL
Other
Enumeration date
09/16/2011
Last updated
09/16/2011
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