Individual
ANTON S GEORGIEV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
10151 DEERWOOD PARK BLVD STE 250, JACKSONVILLE, FL 32256-0566
(904) 664-2178
(904) 877-9243
Mailing address
10151 DEERWOOD PARK BLVD STE 250, JACKSONVILLE, FL 32256-0566
(904) 664-2178
(904) 877-9243
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11015748
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114459600
—
FL
01
—
9377096
REGISTERED NURSE
FL
01
—
APRN11015748
APRN
FL
Enumeration date
10/01/2021
Last updated
04/09/2026
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