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1639841299
ANTON S GEORGIEV
JACKSONVILLE, FL
NPI
1639841299
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: FL 11015748)
Enumeration Date
2021-10-01
Last Update Date
2022-07-01
Business Address
ANTON S GEORGIEV PMHNP-BC
6950 PHILIPS HWY STE 11
JACKSONVILLE, FL 32216-6082
Phone number: 904-239-3677
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Mailing Address
ANTON S GEORGIEV PMHNP-BC
PO BOX 54723
JACKSONVILLE, FL 32245-4723
Phone number: 904-239-3677
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