Individual
MR. JAMES SAMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
852 BLACK CHERRY DR S, JACKSONVILLE, FL 32259-4099
(904) 233-6794
Mailing address
852 BLACK CHERRY DR S, JACKSONVILLE, FL 32259-4099
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5164756
FL
Other
Enumeration date
06/11/2008
Last updated
06/11/2008
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