Organization
COMMUNITY INCOME TAX OF JACKSONVILLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL LYNETTE SMITH (OWNER)
(904) 304-5339
Entity
Organization
Contact information
Practice address
2506 JAMMES RD, UNIT 14, JACKSONVILLE, FL 32210-3786
(904) 438-5128
(904) 438-5128
Mailing address
2506 JAMMES RD, UNIT 14, JACKSONVILLE, FL 32210-3786
(904) 438-5128
(904) 438-5128
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
P234782
FL
Other
Enumeration date
09/09/2015
Last updated
09/09/2015
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