Healthcare Provider Details

I. General information

NPI: 1881948990
Provider Name (Legal Business Name): MRS. KUBRA ESKIGUN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/29/2012
Last Update Date: 10/29/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6817 SOUTHPOINT PKWY SUITE 1501
JACKSONVILLE FL
32216-6282
US

IV. Provider business mailing address

1406 HAYS ST SUITE 8
TALLAHASSEE FL
32301-2833
US

V. Phone/Fax

Practice location:
  • Phone: 904-619-8430
  • Fax: 904-619-6342
Mailing address:
  • Phone: 850-521-0242
  • Fax: 850-521-1973

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: