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Individual

GERALD CARDONA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
421 JAX ESTATES DR S, JACKSONVILLE, FL 32218-2510
(904) 731-6541
Mailing address
PO BOX 28013, JACKSONVILLE, FL 32226-8013
(904) 731-6541

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
814556506
NEMT
Enumeration date
03/23/2021
Last updated
03/23/2021
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