| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 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 |