| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1407012073 | DARIANO | TARA | JULIET | 2080 CHILD ST | JACKSONVILLE | FL | 322145005 | |
| 1053385559 | DOMINGUEZ | JOSE | ANTOLIN | 2080 CHILD ST | JACKSONVILLE | FL | 322145005 | |
| 1003298225 | JENSEN | JASON | PAUL | 2080 CHILD ST | JACKSONVILLE | FL | 322145005 |