Organization
CEREBRAL PALSY OF NORTHEAST FLORIDA
Active
Other names
Therapy Source
Organization subpart
No
Provider details
NPI number
Authorized official
MISS HOLLY PETERS (CEO)
(904) 396-1462
Entity
Organization
Contact information
Practice address
3271 TIGER HOLE RD, JACKSONVILLE, FL 32216-5859
(904) 730-6066
(904) 443-6264
Mailing address
10000 GATE PKWY N, #1913, JACKSONVILLE, FL 32246-8280
(904) 998-9806
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OT 9707
FL
Other
Enumeration date
01/08/2007
Last updated
08/22/2020
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