| Hyatt Help Inc | |
|
10175 Fortune Pkwy Suite 1102 Jacksonville FL 32256-6746 | |
| (904) 524-0826 | |
| Not Available |
| Full Name | Hyatt Help Inc |
|---|---|
| Speciality | Social Worker |
| Location | 10175 Fortune Pkwy, Jacksonville, Florida |
| Authorized Official Name and Position | Donna Hyatt (OWNER) |
| Authorized Official Contact | 9045240826 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hyatt Help Inc 6117 Kissengen Springs Ct Jacksonville FL 32258-5136 Ph: () - | Hyatt Help Inc 10175 Fortune Pkwy Suite 1102 Jacksonville FL 32256-6746 Ph: (904) 524-0826 |
| NPI Number | 1356647036 |
|---|---|
| Provider Enumeration Date | 01/28/2011 |
| Last Update Date | 01/28/2011 |
| Medicare PECOS PAC ID | 1658555420 |
|---|---|
| Medicare Enrollment ID | O20110404000366 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356647036 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW9218 (Florida) | Primary |
| Provider Name | Donna J Hyatt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073658159 PECOS PAC ID: 6002090875 Enrollment ID: I20110404000386 |
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