NPI 1689863185

Torina Laterral Brooks

Practitioner Lodging Provider Jacksonville, FL

Practice location

Address: 450 W 58th St, Jacksonville, FL 32208-4140
Phone: (904) 894-4451
Fax: (904) 765-4544

Registered specialties

Lodging Provider Primary

Other Service Providers Taxonomy 177F00000X Licence AL11105 (FL)

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Registry record

NPI: 1689863185
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Oct 2007
Record last updated: 19 Oct 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.