Individual
KYLE ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2105 PARK ST, JACKSONVILLE, FL 32204-3871
(904) 993-4155
Mailing address
1280 INGLESIDE AVE, JACKSONVILLE, FL 32205-7731
(904) 993-4155
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
4376
FL
Other
Enumeration date
11/25/2024
Last updated
11/25/2024
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