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Individual

MS. OCTAVIA TIESHA BLOUNT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2303 CANEY OAKS DR, JACKSONVILLE, FL 32218-9080
(904) 487-7992
Mailing address
2303 CANEY OAKS DR, JACKSONVILLE, FL 32218-9080
(904) 487-7992

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9678060
FL

Other

Enumeration date
01/10/2026
Last updated
02/18/2026
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