Individual
BRIDGETT TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7946 MALTA CT, JACKSONVILLE, FL 32244-8200
(904) 803-4957
Mailing address
7946 MALTA CT, JACKSONVILLE, FL 32244-8200
(904) 803-4957
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
004331800
FL
Other
Enumeration date
10/15/2020
Last updated
10/15/2020
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