Individual
NACHA BELDOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
900 CESERY BLVD STE 117, JACKSONVILLE, FL 32211-5687
(904) 444-8367
Mailing address
900 CESERY BLVD STE 117, JACKSONVILLE, FL 32211-5687
(904) 444-8367
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
619182
—
FL
Enumeration date
01/05/2017
Last updated
03/19/2018
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