Individual
DR. JACQUELYN ERLENE FLOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
262 CRYSTAL GROVE BLVD, LUTZ, FL 33548-6460
(813) 326-5915
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
40267
TX
103TC0700X
Clinical Psychologist
Primary
PY7586
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5933D
BLUE CROSS BLUE SHIELD
FL
05
—
768739700
—
FL
Enumeration date
03/03/2008
Last updated
10/25/2024
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