| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1578125100 | ALI | ALEEM | AZAL | | 653-1 W 8TH ST | JACKSONVILLE | FL | 322096511 |
| 1346602927 | GREEN | KEVIN | ROY | | 653-1 W 8TH ST # L18 | JACKSONVILLE | FL | 322096511 |
| 1053816355 | IZZO | CHRISTOPHER | STEPHEN | | 653 W 8TH ST # L18 | JACKSONVILLE | FL | 322096511 |
| 1811255300 | KATSAFANAS | CONSTANCE | VASILIKI | | PO BOX 44008 | JACKSONVILLE | FL | 322314008 |
| 1841877008 | KIAMOS | AMY | MADELINE | | 655 W 8TH ST # L18 | JACKSONVILLE | FL | 322096511 |
| 1649665431 | NELSON | GRANT | | | 653 W 8TH ST # L18 | JACKSONVILLE | FL | 322096511 |
| 1326433624 | STEINBERG | SCOTT | RICHARD | | 655 W 8TH ST | JACKSONVILLE | FL | 322096511 |
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