NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1902872740 | BASS | THEODORE | A |   | PO BOX 44008 | JACKSONVILLE | FL | 322314008 |
1811206816 | KADARIYA | DINESH |   |   | 655 W 8TH STREET | JACKSONVILLE | FL | 32209 |
1124745351 | ORTEGA | LUIS |   |   | 7800 POINT MEADOWS DR APT 422 | JACKSONVILLE | FL | 322564613 |
1144240490 | SOFFER | DANIEL |   |   | PO BOX 44008 | JACKSONVILLE | FL | 322314008 |
1235283292 | SURYADEVARA | SIVA |   |   | PO BOX 44008 | JACKSONVILLE | FL | 322314008 |
1720024508 | VELARDE | GLADYS |   |   | 655 W 8TH ST | JACKSONVILLE | FL | 322096511 |
1962719443 | ZEYL | THOMAS | JAMES |   | PO BOX 44008 | JACKSONVILLE | FL | 322314008 |