Basic Information
Provider Information
NPI: 1568856698
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TURNER
FirstName: AFTON
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 80 PHOENIX AVE
Address2: STE 201
City: WATERBURY
State: CT
PostalCode: 067021418
CountryCode: US
TelephoneNumber: 2037568021
FaxNumber: 2038054913
Practice Location
Address1: 4788 HODGES BLVD STE B108
Address2:  
City: JACKSONVILLE
State: FL
PostalCode: 322247222
CountryCode: US
TelephoneNumber: 9042239100
FaxNumber: 9042239282
Other Information
ProviderEnumerationDate: 03/26/2015
LastUpdateDate: 06/13/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2080A0000XME135147FLY Allopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine

No ID Information.


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