Individual
ANTINESE STINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4541 SHIRLEY AVE STE 4, JACKSONVILLE, FL 32210-2069
(904) 480-0663
Mailing address
4541 SHIRLEY AVE STE 4, JACKSONVILLE, FL 32210-2069
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
01/19/2022
Last updated
01/19/2022
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