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Ceddeth Richardson, MOTR/L
NPI 1629369269 · on the registry since 2011
Practice
- Address
- 4134 Dunn Ave
Jacksonville, FL 32218 - Phone
- (904) 766-2297
- Organisation at this address
- Sovereign Healthcare Of Jacksonville, Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 225X00000X
225X00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-05-01
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