Individual
MR. AKINKAWON TAHIR FRIERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LABORATORY DIRECTOR
Contact information
Practice address
2744 US 1 S, ST AUGUSTINE, FL 32086-6366
(888) 890-1054
(904) 600-4583
Mailing address
2744 US HIGHWAY 1 S, ST AUGUSTINE, FL 32086-6366
(904) 217-0479
(904) 600-4583
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
291U00000X
Clinical Medical Laboratory
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10D2240563
CLINICAL LABORATORY IMPROVEMENT AMENDMENTS CERTIFICATE OF WAIVER
FL
Enumeration date
12/18/2021
Last updated
10/24/2025
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