Individual
CLAUDE TATE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
921 N. DAVIS ST. BLDG. B, SUITE 350, JACKSONVILLE, FL 32209
(904) 601-2191
Mailing address
921 N. DAVIS ST. BLDG. B, SUITE 350, JACKSONVILLE, FL 32209
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/03/2019
Last updated
09/03/2019
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