person
Tarvis Peacock
Student in an Organized Health Care Education/Training Program in Orange Park, Florida
NPI 1568090785

Tarvis Peacock is a Student in an Organized Health Care Education/Training Program based in Orange Park, FL. Tarvis Peacock practices in Orange Park, FL. The NPI Number for Tarvis Peacock is 1568090785 and holds a License No. (Florida).

The current practice location address for Tarvis Peacock is 2001 Kingsley Ave, Orange Park, FL and can be reached out via phone at 904-639-2000.

Location: 2001 Kingsley Ave, Orange Park, FL, 32073-5148
person
Provider Profile Details
NPI Number
1568090785
Provider Name
Tarvis Peacock
Credential
Provider Entity Type
Individual
Gender
Female
Address
2001 Kingsley Ave, Orange Park, FL, 32073-5148
Phone Number
904-639-2000
Fax Number
Provider Enumeration Date
04/01/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2001 Kingsley Ave
City
State
Zip
32073-5148
Phone Number
904-639-2000
Fax Number
person
Provider Business Mailing Address Details
Address
2001 Kingsley Ave
City
State
Zip
32073-5148
Phone Number
904-639-2000
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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