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MS. JUDITH KAREN SOFFLER ARNP

Adult Health >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1316132061

Individual Registrant:
MS. JUDITH KAREN SOFFLER ARNP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
555 STOCKTON STREET  JAX, FL 32204 US
Tel: 904-387-4661  Fax: --

Contact information for business:
4045 MIZNER CIRCLE SOUTH  JAX, FL 32217 US
Tel: 904-448-8613  Fax: --

Registration Information:
NPI: 1316132061
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N363LA2200XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Adult Health
FL2556802
N363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
FL2556802
Y363LP0808XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
FL2556802

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS FL - Page 1



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