Individual
EDDIE BURROUGHS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2657 MYRA ST, JACKSONVILLE, FL 32204-3517
(904) 552-9094
Mailing address
2657 MYRA ST, JACKSONVILLE, FL 32204-3517
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
11/11/2024
Last updated
11/11/2024
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