Organization
JTI PRINCIPAL MANAGEMENT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ZIAD AMIR YOUSSEF (CEO)
(904) 877-8882
Entity
Organization
Contact information
Practice address
3547 HENDRICKS AVE, JACKSONVILLE, FL 32207-5309
(904) 877-8882
(904) 877-1301
Mailing address
3547 HENDRICKS AVE, JACKSONVILLE, FL 32207-5309
(904) 877-8882
(904) 877-1301
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/17/2025
Last updated
10/17/2025
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