Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Letara Reyona Mack

Individual provider Prosthetics Case Management · NPI 1871008094

Letara Reyona Mack is a Prosthetics Case Management in Jacksonville, Florida. Practices as a sole proprietor. Registered with an NPI since 2017.

In the registry since
2017

Practice location Address checks out

1745 Whitman St
Jacksonville, FL 32210-1237
Phone: (904) 424-8590
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetics Case Management (primary) Taxonomy 1744P3200X

Record details

NPI number1871008094
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 11, 2017
Last updated in NPPESDecember 11, 2017
Mailing address1745 Whitman St, Jacksonville, FL 32210-1237

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