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Amber Raikes
NPI 1134730922 · on the registry since 2020 · sole proprietor
Practice
- Address
- 4443 Bass Pl N
Jacksonville, FL 32210 - Phone
- (904) 465-0090
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Also registered as
- 103K00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-05-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida