NPI 1841548898

Peachesnabasket Adult Health Services

Organisation Point of Service Jacksonville, FL

Practice location

Address: 2040 Soutel Dr, Jacksonville, FL 32208-2280
Phone: (904) 766-4993
Fax: (904) 713-9966

Authorised official

Name: B.Dolores Flemming
Title: Ceo
Phone: (904) 766-4993

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence 231670 (FL)

Other Point of Service providers in Florida →

Registry record

NPI: 1841548898
Entity type: Organization
NPI issued: 23 Aug 2012
Record last updated: 23 Aug 2012

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.