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Contact Information

BLONDEVA BETHEL, PEER SPECIALIST
555 STOCKTON ST
JACKSONVILLE, FL32204-2534
 Phone: 904-387-4667
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Other Service Providers

175T00000X
Indicates primary specialty

NPI Profile & details for BLONDEVA BETHEL · (Female)

NPI # 1023998523
Status Active
Credentials PEER SPECIALIST
Entity Individual
Enumeration date 09/04/2025
Last updated 09/04/2025 - About 9 months ago
Sole proprietor 1 Yes
Identifiers
  • FL License # 0100096
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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