Individual
ANTHONY FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
193 BRADFORD LAKE CIR, JACKSONVILLE, FL 32218-0103
(904) 697-8553
Mailing address
193 BRADFORD LAKE CIR, JACKSONVILLE, FL 32218-0103
(904) 697-8553
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
—
—
163W00000X
Registered Nurse
Primary
RN9356853
FL
Other
Enumeration date
03/01/2019
Last updated
03/01/2019
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