| Nautilus Behavioral Health, Pllc | |
|
12412 San Jose Blvd Suite 203 Jacksonville FL 32223-8621 | |
| (904) 432-3321 | |
| (904) 432-3324 |
| Full Name | Nautilus Behavioral Health, Pllc |
|---|---|
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 12412 San Jose Blvd, Jacksonville, Florida |
| Authorized Official Name and Position | Sarah Dew-reeves (CO-OWNER/LICENSED CLINICAL PSYCHOLO) |
| Authorized Official Contact | 9044323321 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nautilus Behavioral Health, Pllc 12412 San Jose Blvd Suite 203 Jacksonville FL 32223-8621 Ph: (904) 432-3321 | Nautilus Behavioral Health, Pllc 12412 San Jose Blvd Suite 203 Jacksonville FL 32223-8621 Ph: (904) 432-3321 |
| NPI Number | 1134577901 |
|---|---|
| Provider Enumeration Date | 06/01/2016 |
| Last Update Date | 07/21/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134577901 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | PY9064 (Florida) | Primary |
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