person
Gina Birmingham
Home Modifications Contractor in St. Augustine, Florida
NPI 1295133999

Gina Birmingham is a Home Modifications Contractor based in St Augustine, FL and is specialized in Home Modifications. Gina Birmingham practices in St. Augustine, FL. The NPI Number for Gina Birmingham is 1295133999 and holds a License No. CRC1329155 (Florida).

The current practice location address for Gina Birmingham is 525 West King Street, St. Augustine, FL and can be reached out via phone at 904-824-0902 and via fax at 904-824-9635.

Location: 525 West King Street, St. Augustine, FL, 32085-1086
person
Provider Profile Details
NPI Number
1295133999
Provider Name
Gina Birmingham
Credential
Provider Entity Type
Individual
Gender
Female
Address
525 West King Street, St. Augustine, FL, 32085-1086
Phone Number
904-824-0902
Fax Number
904-824-9635
Provider Enumeration Date
12/11/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
006510900 05 FL
institution
Provider Business Practice Location Address Details
Address
525 West King Street
City
State
Zip
32084-1086
Phone Number
904-824-0902
Fax Number
904-824-9635
person
Provider Business Mailing Address Details
Address
525 West King Street
City
State
Zip
32084-1086
Phone Number
904-824-0902
Fax Number
904-824-9635
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Contractor
Speciality
Home Modifications
Taxonomy
License No.
CRC1329155 (Florida)
Definition
Definition to come...
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