| Allied Health | |
|
7235 Bonneval Rd Jacksonville FL 32256-7565 | |
| (904) 309-2422 | |
| Not Available |
| Full Name | Allied Health |
|---|---|
| Speciality | Case Manager/care Coordinator |
| Location | 7235 Bonneval Rd, Jacksonville, Florida |
| Authorized Official Name and Position | Devonta J Jackson (OWNER) |
| Authorized Official Contact | 8324908067 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Allied Health 19925 Sutton Falls Dr Cypress TX 77433-1026 Ph: (832) 490-8067 | Allied Health 7235 Bonneval Rd Jacksonville FL 32256-7565 Ph: (904) 309-2422 |
| NPI Number | 1114386778 |
|---|---|
| Provider Enumeration Date | 02/11/2016 |
| Last Update Date | 02/16/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114386778 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Primary |
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