Individual
REGINA KAUFMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
1212 13TH ST N, JACKSONVILLE BEACH, FL 32250-3682
(727) 741-4305
(904) 306-7826
Mailing address
312 KEELERS CT, PONTE VEDRA BEACH, FL 32082-2180
(904) 285-0619
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
08/07/2014
Last updated
08/07/2014
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