Antionette Jarshawn Miller-Maultsby
Health Service
4401 Will Scarlet Rd
Jacksonville
, Florida 32208-1154
Antionette Jarshawn Miller-Maultsby
Health Service
4401 Will Scarlet Rd
Jacksonville
, Florida 32208-1154
(904) 352-0066
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About
Features
Specialties
- Health Service
Languages spoken
- English
Location
First Address
- Antionette Jarshawn Miller-Maultsby
- 4401 Will Scarlet Rd
- Jacksonville, FL
- Zip : 32208-1154
- Phone : (904) 352-0066
Second Address
- Antionette Jarshawn Miller-Maultsby
- 4401 Will Scarlet Rd
- Jacksonville, FL
- Zip : 32208-1154
- Phone : (904) 352-0066
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Is Antionette Jarshawn Miller-Maultsby a sole practitioner?
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Does Antionette Jarshawn Miller-Maultsby offers telemedicine?
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Does Antionette Jarshawn Miller-Maultsby have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TH0100X | Health Service | 103TH0100X | FL |
National Provider Identifier
| NPI | 1013573039 |
|---|---|
| Provider Name | Antionette Jarshawn Miller-Maultsby |
| First Address | Jacksonville, FL 32208-1154 |
| Second Address | Jacksonville, FL 32208-1154 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/05/2019 |
| Last Update Date | 15/05/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.