Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | OS12511 | FL |
NPI | 1023329372 |
---|---|
Provider Name | Lateya C Foxx |
First Address | Jacksonville, FL 32203-1113 |
Second Address | Jacksonville, FL 32258-7420 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/07/2010 |
Last Update Date | 18/11/2021 |