TIA SEA

JACKSONVILLE, FL
NPI1285644724
Former NameKATHLEEN JANE EDMISTON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: FL  ARNP9172987)
Enumeration Date2006-08-08
Last Update Date2007-07-08
Business Address
-- TIA SEA A.R.N.P.
7855 ARGYLE FOREST BLVD SUITE 302
JACKSONVILLE, FL 32244-5596
Phone number: 904-594-6044
Mailing Address
-- TIA SEA A.R.N.P.
7855 ARGYLE FOREST BLVD SUITE 302
JACKSONVILLE, FL 32244-5596
Phone number: 904-594-6044
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