Individual
MISS CECILIA HOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
12311 SAN JOSE BLVD, JACKSONVILLE, FL 32223-2673
(904) 262-7211
(904) 262-6995
Mailing address
2675 WINKLER AVE FL 2, FORT MYERS, FL 33901-9342
(877) 856-3774
(239) 599-2612
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS14875
FL
Other
Enumeration date
06/04/2014
Last updated
09/06/2022
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