NPI 1013848209
Second Chance LLC
Practice location
- Address
- 5494 Logan Cave Ave, Wimauma, FL 33598-2440
- Phone
- (727) 265-0224
- Mailing address
- PO Box 35225, St Petersburg, FL 33705-0504
Authorised official
- Name
- William Jackson
- Title
- Owner
- Phone
- (727) 265-0224
Registered specialties
Community Health Worker
Primary
Registry record
- NPI
- 1013848209
- Entity type
- Organization
- NPI issued
- 26 May 2026
- Record last updated
- 26 May 2026
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.