Most Relevant Information
Provider Data
| NPI Number: | 1003693516 |
| Provider Name: | ANNIE SEA |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/11/2023 |
| Last Updated: | 09/11/2023 |
Provider Practice Location
115 COLLEGE DR
ORANGE PARK
FL
320659035
Practice Location Phone/Fax
| Phone: | 9046029802 |
| Fax: | 9046215113 |
Provider Mailing Location
PO BOX 65190
ORANGE PARK
FL
320650004
Provider Mailing Phone/Fax
| Phone: | 9046029802 |
| Fax: | 9046215113 |