| Jewish Family And Community Services | |
|
8540 Baycenter Rd Jacksonville FL 32256-7420 | |
| (904) 448-1933 | |
| (904) 448-0349 |
| Full Name | Jewish Family And Community Services |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 8540 Baycenter Rd, Jacksonville, Florida |
| Authorized Official Name and Position | Colleen Lloyd Rodriguez (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9047598222 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jewish Family And Community Services 8540 Baycenter Rd Jacksonville FL 32256-7420 Ph: (904) 448-1933 | Jewish Family And Community Services 8540 Baycenter Rd Jacksonville FL 32256-7420 Ph: (904) 448-1933 |
| NPI Number | 1538255088 |
|---|---|
| Provider Enumeration Date | 10/04/2006 |
| Last Update Date | 10/26/2023 |
| Certification Date | 10/26/2023 |
| Medicare PECOS PAC ID | 4486644986 |
|---|---|
| Medicare Enrollment ID | O20040517000386 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538255088 | NPI | - | NPPES |
| 003485000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Edward Spade |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982652368 PECOS PAC ID: 6002072956 Enrollment ID: I20190725000427 |
| Provider Name | Carol Bender |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225585821 PECOS PAC ID: 2365870458 Enrollment ID: I20200324002497 |
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