NPI 1043719396

Coco Chenele LLC

Organisation Point of Service Jacksonville, FL

Practice location

Address: 6650 Corporate Center Pkwy APT 1317, Jacksonville, FL 32216-8722
Phone: (904) 333-9495
Mailing address: 7643 Gate Pkwy STE 104-518, Jacksonville, FL 32256-2893

Authorised official

Name: Jasmine Chenele Hughes
Title: Owner
Phone: (904) 333-9495

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X

Other Point of Service providers in Florida →

Registry record

NPI: 1043719396
Entity type: Organization
NPI issued: 1 Feb 2018
Record last updated: 11 Jun 2019

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.