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Jerome Greenfield

Adult Companion in Jacksonville, FL. Individual provider (NPI-1).

NPI number1982131975
StatusActive
Last updated in NPPESMay 22, 2017

Details

NPI
1982131975
Entity type
Individual (NPI-1)
Name
Jerome Greenfield
Sex
Male
Sole proprietor
Yes
Enumeration date
May 22, 2017
Last updated
May 22, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
372600000X Adult Companion––Yes
372600000X Adult CompanionG651439774020FL

Practice location

13464 Yellow Bluff Rd
Jacksonville, FL 32226-3803

Phone 904-601-8846

Mailing address

13464 Yellow Bluff Rd
Jacksonville, FL 32226-3803

Phone 904-601-8846

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