| Florida Children's Institute | |
|
8777 San Jose Blvd Suite 801 Jacksonville FL 32217-4213 | |
| (904) 374-6403 | |
| Not Available |
| Full Name | Florida Children's Institute |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 8777 San Jose Blvd, Jacksonville, Florida |
| Authorized Official Name and Position | Catherine Baker Simms (CEO AND OWNER) |
| Authorized Official Contact | 9043746403 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Florida Children's Institute 8777 San Jose Blvd Suite 801 Jacksonville FL 32217-4213 Ph: (904) 374-6403 | Florida Children's Institute 8777 San Jose Blvd Suite 801 Jacksonville FL 32217-4213 Ph: (904) 374-6403 |
| NPI Number | 1770033748 |
|---|---|
| Provider Enumeration Date | 10/13/2016 |
| Last Update Date | 10/13/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770033748 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | RBT-16-22849 (Florida) | Primary |
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