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Organization

BATWOMAN INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRIANNA RIVAS ARNP (OWNER)
(904) 330-1024
Entity
Organization

Contact information

Practice address
6817 SOUTHPOINT PKWY STE 203, JACKSONVILLE, FL 32216-6286
(904) 330-1024
(904) 330-1027
Mailing address
6817 SOUTHPOINT PKWY STE 203, JACKSONVILLE, FL 32216-6286
(904) 330-1024
(904) 330-1027

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ARNP9348141
STATE LICENSE
FL
Enumeration date
07/06/2017
Last updated
07/21/2022
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