| Twin Dreams Llc | |
|
10660 Old Saint Augustine Rd Apt 402 Jacksonville FL 32257-1057 | |
| (904) 896-0346 | |
| Not Available |
| Full Name | Twin Dreams Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 10660 Old Saint Augustine Rd Apt 402, Jacksonville, Florida |
| Authorized Official Name and Position | Margery H Runyan (OWNEER) |
| Authorized Official Contact | 9709460992 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Twin Dreams Llc 10660 Old Saint Augustine Rd Apt 402 Jacksonville FL 32257-1057 Ph: (904) 896-0346 | Twin Dreams Llc 10660 Old Saint Augustine Rd Apt 402 Jacksonville FL 32257-1057 Ph: (904) 896-0346 |
| NPI Number | 1003137456 |
|---|---|
| Provider Enumeration Date | 06/21/2010 |
| Last Update Date | 10/08/2025 |
| Certification Date | 10/08/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003137456 | NPI | - | NPPES |
| 11827750 | Other | CAQH | |
| 001188500 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW8844 (Florida) | Primary |
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