Individual
WILLIAM BACKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4260 JULINGTON CREEK RD, JACKSONVILLE, FL 32223-4016
(904) 517-5948
Mailing address
159 HAMPTON POINT DR STE 2, SAINT AUGUSTINE, FL 32092-3056
(904) 209-6837
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
02/04/2025
Last updated
02/04/2025
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