NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1316248446 | BOTTS | SHELLEY | HICKS |   | 13834 WEEPING WILLOW WAY | JACKSONVILLE | FL | 322246897 |
1376786335 | CARLISLE | JENNIFER | RENEE |   | 76 OSPREY VILLAGE DR | AMELIA ISLAND | FL | 32034 |
1306294285 | PATRICKSON | WHITNEY | ALLISON |   | 48 OSPREY VILLAGE DR | FERNANDINA BEACH | FL | 320344955 |
1912152083 | SWENSON | VIRGINIA | WARREN |   | 76 OSPREY VILLAGE DR | AMELIA ISLAND | FL | 320344962 |