Individual
DR. COURTNEY FOSMOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9550 BAYMEADOWS RD, JACKSONVILLE, FL 32256-0710
(904) 431-6355
Mailing address
508 MIDWAY ST, NEPTUNE BEACH, FL 32266-6172
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS56422
FL
Other
Enumeration date
11/08/2019
Last updated
11/08/2019
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