Stephanie Kinnare Phd Llc

Specialty details in registry · Jacksonville, FL

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At a glance

12724 Gran Bay Pkwy W Ste 410, Jacksonville, FL 32258-9486

NPPES record updated Apr 29, 2025. Public records can lag behind changes at a practice.

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Practice location

12724 Gran Bay Pkwy W Ste 410
Jacksonville, FL 32258-9486

Professional details: NPI, taxonomy & registry record

NPI1861280745

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 103TC0700X
Enumeration date: Apr 29, 2025
Record updated: Apr 29, 2025

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

103TC0700X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

12724 Gran Bay Pkwy W Ste 410
Jacksonville, FL 32258-9486

Phone: (904) 574-5200

Mailing address

12724 GRAN BAY PKWY W STE 410

JACKSONVILLE, FL 322589486

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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