Individual
AKILI MIXSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
550 BALMORAL CIR N STE 302, JACKSONVILLE, FL 32218-5583
(904) 566-1572
Mailing address
646 IVA PL, JACKSONVILLE, FL 32208-3586
(904) 566-1572
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
FL
251S00000X
Community/Behavioral Health Agency
—
FL
253Z00000X
In Home Supportive Care Agency
Primary
—
FL
Other
Enumeration date
02/09/2024
Last updated
02/09/2024
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