NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1578834743 | ATTLESEY | JEANNIE | DEANN |   | 3663 BURNT PINE DR | JACKSONVILLE | FL | 322240871 |
1609810670 | HARTER | DEBORAH | L |   | 4607 US HIGHWAY 17 | ORANGE PARK | FL | 32003 |
1194854539 | HOUSE | CHARLES | MARSHALL |   | 4607 US HIGHWAY 17 | ORANGE PARK | FL | 320037866 |
1952503369 | WONPAT | ELIZABETH | C |   | 4607 US HIGHWAY 17 | ORANGE PARK | FL | 320037866 |