Individual
MRS. PATRICIA CEASAR PITTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13764 CHIPPERFIELD LN, JACKSONVILLE, FL 32226-5832
(904) 465-3466
Mailing address
PO BOX 77375, JACKSONVILLE, FL 32226-7375
(904) 465-3466
(904) 751-3750
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
755750700
—
FL
Enumeration date
09/10/2018
Last updated
09/10/2018
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