Individual
TERRI VELINDA VIRGIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11555 BIRCH FOREST CIRCLE EAST, JACKSONVILLE, FL 32218
(904) 333-8610
Mailing address
11555 BIRCH FOREST CIR E, JACKSONVILLE, FL 32218-3382
(904) 333-8610
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
PT6786
FL
Other
Enumeration date
02/03/2012
Last updated
02/03/2012
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