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Carol Richards, ATC
Specialist in Jacksonville, Florida
NPI 1558398289

Carol Richards is a Specialist based in Jacksonville, FL. Carol Richards practices in Jacksonville, FL and has the professional credentials of ATC. The NPI Number for Carol Richards is 1558398289 and holds a License No. AL1679 (Florida).

The current practice location address for Carol Richards is 12276 San Jose Blvd, Jacksonville, FL and can be reached out via phone at 904-288-9604.

Location: 12276 San Jose Blvd, Jacksonville, FL, 32257-1529
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558398289
Provider Name
Carol Richards
Credential
ATC
Provider Entity Type
Individual
Gender
Female
Address
12276 San Jose Blvd, Jacksonville, FL, 32257-1529
Phone Number
904-288-9604
Fax Number
Provider Enumeration Date
06/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
AL1679 01 FL LICENSE NO.
institution
Provider Business Practice Location Address Details
Address
12276 San Jose Blvd
City
Jacksonville
State
Florida
Zip
32223-8628
Phone Number
904-288-9604
Fax Number
person
Provider Business Mailing Address Details
Address
12276 San Jose Blvd
City
Jacksonville
State
Florida
Zip
32223-8628
Phone Number
904-288-9604
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
AL1679 (Florida)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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