| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1629574843 | ABOUSHAAR | OUSAMA | 2627 RIVERSIDE AVE | JACKSONVILLE | FL | 322044717 | ||
| 1154517308 | LORENZ | RHONDA | RENE | 2627 RIVERSIDE AVE | JACKSONVILLE | FL | 322044712 | |
| 1801526173 | TAWIL | ALYSSA | 2627 RIVERSIDE AVE # A | JACKSONVILLE | FL | 322044717 | ||
| 1689012106 | WARD | MEGHAN | N | 2627 RIVERSIDE AVE | JACKSONVILLE | FL | 322044712 |