Firsthand Health Of Florida Pa | |
8384 Baymeadows Rd Ste 4 Jacksonville FL 32256-7486 | |
(844) 378-4263 | |
Not Available |
Full Name | Firsthand Health Of Florida Pa |
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Speciality | General Practice |
Location | 8384 Baymeadows Rd Ste 4, Jacksonville, Florida |
Authorized Official Name and Position | Joseph Parks (CEO) |
Authorized Official Contact | 5738648733 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Firsthand Health Of Florida Pa 1032 E Brandon Blvd Ste 4567 Brandon FL 33511-5509 Ph: (844) 378-4263 | Firsthand Health Of Florida Pa 8384 Baymeadows Rd Ste 4 Jacksonville FL 32256-7486 Ph: (844) 378-4263 |
NPI Number | 1316685605 |
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Provider Enumeration Date | 05/25/2022 |
Last Update Date | 02/03/2025 |
Certification Date | 02/03/2025 |
Medicare PECOS PAC ID | 7315320314 |
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Medicare Enrollment ID | O20220823002883 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316685605 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Sharine Wishart |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548207335 PECOS PAC ID: 3274601752 Enrollment ID: I20081010000333 |
Provider Name | Tabitha Rutter |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881942233 PECOS PAC ID: 6002139169 Enrollment ID: I20141220000433 |
Provider Name | Joseph Parks |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1003898495 PECOS PAC ID: 5496668204 Enrollment ID: I20220823002990 |
Provider Name | Kandace Dalton |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417430190 PECOS PAC ID: 1557615465 Enrollment ID: I20221017001376 |
Provider Name | Ashlee Lewis |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962874230 PECOS PAC ID: 4880941012 Enrollment ID: I20240117002968 |
Provider Name | Tera Howard |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174081632 PECOS PAC ID: 1355776543 Enrollment ID: I20240126001622 |
Provider Name | Adam Black |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558626689 PECOS PAC ID: 2961659586 Enrollment ID: I20240202003578 |
Provider Name | Logan Edwards |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235796285 PECOS PAC ID: 7810341450 Enrollment ID: I20240621001140 |
Provider Name | Davis M Stephen |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1750769154 PECOS PAC ID: 3577853183 Enrollment ID: I20250210001438 |
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