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NPI Code Detail

MEDICARE: SOPHIA SUGGS

MEDICARE: SOPHIA SUGGS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianBACB954888FL

General Provider Information

NPI Number : 1487504924
Entity Type Code : Individual
Provider Name (Legal Business Name) : SOPHIA SUGGS
Provider Business Mailing Address
First Line : 3840 ALADDIN TER
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32223-4831
Country : US
Telephone Number : 616-222-5607
Fax Number :
Provider Business Practice Location Address
First Line : 7775 BAYMEADOWS WAY STE 200
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32256-7531
Country : US
Telephone Number : 616-222-5607
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2026
Last Update Date : 02/09/2026

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Directions to “ SOPHIA SUGGS ” Practice Location

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