Tia Dwana Collection LLC
Tia Dwana Collection LLC is a Prosthetic/Orthotic Supplier in Jacksonville, Florida. Registered with an NPI since 2020.
- In the registry since
- 2020
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
7643 Gate Pkwy Ste 104-333Jacksonville, FL 32256-2893
Phone: (904) 532-3475
Fax: (904) 977-8900
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Prosthetic/Orthotic Supplier (primary) | Taxonomy 335E00000X |
|---|
Record details
| NPI number | 1538756630 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Timothea Whitehurst — Owner · (904) 532-3475 |
| NPI enumerated | December 23, 2020 |
| Last updated in NPPES | January 18, 2021 |
| Certification date | January 18, 2021 |
| Mailing address | 7643 Gate Pkwy Ste 104-333, Jacksonville, FL 32256-2893 |
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